Valdés-Pineda S, Ramírez-Anguiano J, Soroa-Ruiz F, Ochoa-Chávez MF

Language: Spanish
References: 6
Page: 186-190
PDF size: 201.50 Kb.

ABSTRACT

Background: Hemangiomas at upper airway are a common disease in children, while in adults they are very infrequent.
Clinical case: A 42-year-old HIV-negative man with HHV-8 negative/idiopathic multicentric Castleman disease. His main complaint began in 2016 with odynophagia, dysphagia and globus sensation in the hypopharynx. Physical examination revealed a violet tumor located at the right vallecula. Excisional biopsy reported a benign vascular tumor. Three days after the procedure, a new growth was observed by laryngoscopy. A second resection was performed and revealed an ulcerated capillary hemangioma. Two months later, the patient again referred globus sensation in the hypopharynx and another bigger violet tumor was found at the right vallecula. Resection was performed but due to airway complications, a tracheotomy was required. A month after this last procedure, the tumor reappeared again and was performed four episodes of sclerosis without improvement, by the tumor’s relapsing nature, radiotherapy was the chosen treatment option. Twelve months after finishing the last radiotherapy session, the patient has not relapsed.
Conclusions: Hemangiomas in the adult airway are an infrequent find, this topic is rarely mentioned in publications and radiotherapy is usually considered the last option for treating recurrences.

REFERENCES

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