Rzadki przypadek dużego naczyniaka gardła
Journal Title: Otolaryngologia Polska - Year 2012, Vol 66, Issue 1
Abstract
SUMMARY The hemangioma is a benign tumour located mostly in the region of head and neck. It can appear at any age but especially it is diagnosed among children. The disease can be successfully treated with surgery, criotherapy, propranolol or endovascular procedures. The rare case of the 59-year-old, male patient with huge heamangioma of the pharynx was shown in this paper. The patient was mildly symptomatic - he neglected difficulty with swallowing or breathing and there was no pain. The only one complaint was experiencing a worsened hearing in the left ear. The patient was referred to the laryngologist with acute pharyngitis and with the suspicion of peritonsillar abscess. In the ENT examination apart from acute tonsillitis, the tumour of pharynx was diagnosed. Diagnostic puncture of the tumour showed blood. Ambulatory treatment with antibiotics was administered. The inflammation of pharynx was cured but the tumour remained. In the ENT department the patient underwent diagnostic process including CT of the head, angioCT of carotid arteries and consultation of vascular surgeon. The diagnosis was established and patient was referred for endovascular treatment. The outcome of the embolization of hemangioma resulted in reducing the tumour size and decreasing patient's symptoms. The epidemiology, diagnostic problems and therapy were described.
Authors and Affiliations
Jacek Kozakiewicz, Agata Gierlotka, Marcin Trzepaczyński, Marek Motyka
Keywords
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