Tumor of the pharynx – an unexpected diagnosis

Authors

  • Katarzyna Ura-Sabat Clinical Department of Otorhinolaryngology, Fr. Chopin Clinical Voivodeship Hospital in Rzeszów
  • Wojciech Domka Clinical Department of Otorhinolaryngology, Fr. Chopin Clinical Voivodeship Hospital in Rzeszów
  • Marta Gamrot-Wrzoł ENT Department in Zabrze, Medical University of Silesia
  • Krzysztof Szuber Clinical Department of Otorhinolaryngology, Fr. Chopin Clinical Voivodeship Hospital in Rzeszów

DOI:

https://doi.org/10.15584/ejcem.2017.1.12

Keywords:

head and neck, haemangioma, diagnosis, treatment

Abstract

Introduction. Head and neck haemangiomas occur quite rarely. These are benign lesions, often involving the pharynx and larynx. They almost always pose a diagnostic and therapeutic problem.

Case description. This paper describes the case of an asymptomatic internal carotid artery aneurysm manifested by a throat tumour. A 78-year old woman with sudden deafness and vertigo was additionally diagnosed with a throat tumour. After radiological diagnosis of a haemangioma, the patient refused surgery. This article presents diagnostic methods and various types of treatments for head and neck haemangiomas. Attention was paid to the possibility of serious complications when deciding on surgical intervention of haemangiomas without a confirmed diagnosis.

Conclusion. Suspicion of head and neck haemangiomas necessitates using all available diagnostic methods. The treatment plan should take into account the pace of progression, the patient’s age and co-morbid conditions.

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References

Martins RHG, Neto AC, Semenzate G, Lapate R. Laryngeal hemangioma. Braz J Otorhinolaryngol. 2006;72(4):574.

Wang X, Zhao X, Zhu W. Resection of a laryngeal hemangioma in an adult using an ultrasonic scalpel: A case report. Oncol Lett. 2015;9:2477-80.

Zheng JW, Zhou Q, Yang XJ, et al; Treatment guideline for hemangiomans and vascular malformations of the head and neck. Head Neck. 2010;32:1088-98.

Yang GZ, Li J, Jin H. Giant mesenteric hemangioma of cavernous and venous mixed type: a rare case report. BMC Surg. 2013;13:50.

Mulliken JB, Głowacki J. Hemangiomas and vascular malformation in infants and children; a classification based on endothelial characteristics. Plast Reconstr Surg. 1982;69(3);412-22.

Szyfter W (red). Guzy naczyniowe, neurogenne i neuroendokrynne. Nowotwory w Otorynolaryngologii. Termedia; 2015;389-90.

Won JW, Lee HW, Yoon KH, Yang SY, Moon IS, Lee TJ. Extended hemangioma from pharynx to esophagus that could be misdiagnosed as an esophageal varix on endoscopy. Gastroenterol Endoscop Surg. 2013;25(6):626-29.

Altin G, Sanli A, Erdogan BA, Paksoy M, Aydin S, Altintoprak N. Huge interial carotid artery aneurysm presenting as tonsillar asymmetry. J Craniofac Surg. 2012;23(5):1565-7.

Siablis D1, Karnabatidis D, Katsanos K, Mastronikolis N, Zabakis P, Kraniotis P. Extracranial internal carotid artery aneurysms: report of a ruptured case and review of the literature. Cardiovasc Intervend Radiol. 2004;27(4):397-401.

Bilewicz R, Mackiewicz-Nartowicz H, Laskowska K. Przyczynek do naczyniaków krtani i gardła dolnego. Otolaryng Pol. 2008;7(3):148-52.

Gupta A, Winslet MC. Tortous common carotid artery as a cause of dysphagia. J R Soc Med. 2005;98(6):275-76.

Huang CM1, Lee KW, Huang CJ. Radiation therapy for life- threatening huge laryngeal hemangioma involving pharynx and parapharyngeal space. Head Neck. 2013;35(4):98-101.

Heyd R, Seegenschmiedt MH, Rades D, et al. Radiotherapy for symptomatic vertebral hemangiomas: results of a multicenter study and literature review. Int J Radiat Oncol Biol Phys. 2010;77(1):217-25.

Wierzbicka M, Bartochowska A, Balcerowiak A i wsp. Czy skleroterapia malformacji limfatycznej glowy i szyi może zastąpić leczenie chirurgiczne? Pediatr Pol. 2011;86:385-89.

Wang W-H, Tsai K-Y. Transoral robotic resection of an adult laryngeal hemangioma and review of the literature. J Laryngol Otol. 2015;129(6):614-8.

Orlando JL, Caldas JG, Campos HG, Nishinari K, Krutman M, Wolosker N. Ethanol sclerotherapy of head and neck venous malformations. Eistein (Sao Paolo). 2014;12(2):181-6.

Bektas D, Caylan R, Korkomaz O, Savas FS; Acquired and congenital internal carotidartery anomalies in two cases; an important threat for the otolaryngologist; Ear, Nose, Throat. 2004;13(1-2):35-7.

Juszkat R. Wewnątrznaczyniowe leczenie nowotworów i schorzeń naczyniowych głowy i szyi. Postępy w chirurgii głowy i szyi. 2007;2:7-20.

Chang KH, Cotter J, McGreal GT. Massive carotid artery aneurysm presenting as an oropharyngeal swelling in a young woman. BMJ Case Rep. doi: 10.1136/bcr-2014-206810.

Yan Y, Olszewski AE, Hoffman MR, et al. Use of laser in laryngeal surgery. J Voice. 2010;24(1):102-9.

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Published

2017-03-31

How to Cite

Ura-Sabat, K., Domka, W., Gamrot-Wrzoł, M., & Szuber, K. (2017). Tumor of the pharynx – an unexpected diagnosis. European Journal of Clinical and Experimental Medicine, 15(1), 78–81. https://doi.org/10.15584/ejcem.2017.1.12

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