Chițac, Celesta Drăgulescu, B. Petrescu, Alexandru Ciucă, M. Vasilca, A. We present the case of a year-old female patient, accusing oral haemorrhage and mild dysphagia.
Traducere "tumor benigno" în română
Clinical examination, flexible fibroscopy and imaging pointed to a diagnosis of a haemangioma of the right hypopharynx. A microscopic laryngoscopy procedure was carried out, with intratumoral monopolar lipoma papilloma which led to a complete retraction lipoma papilloma the tumour.
The metastatic cancer known as evolution was favourable, with no postoperative complications or recurrence up to 1-year check-up. Keywords haemangioma, angiography, monopolar electrocauterization Rezumat Autorii prezintă cazul unei paciente în vârstă de 31 lipoma papilloma ani care se internează în clinica noastră pentru sângerare exteriorizată oral şi disfagie uşoară.
Pe baza examenului clinic, fibroscopic şi a investigaţiilor imagistice, se pune diagnosticul de formaţiune tumorală vasculară hipofaringiană dreaptă. Se practică prin abord microlaringoscopic electrocauterizarea intratumorală cu ac monopolar, cu retracţia până la dispariţie a hemangiomului faringian.
Evoluţia postoperatorie a fost bună, lipsită de complicaţii hemoragice sau dispnee. Nu s-a constatat recidivă tumorală la ultimul control efectuat la un an postoperator. Cuvinte cheie hemangiom angiografie cauterizare monopolară Case report Haemangiomas are benign tumours originating in the vascular endothelium.
They represent lipoma papilloma type of tumour rarely encountered in clinical practice, especially in the pharynx, with a small number of cases cited in literature. The treatment represents a challenge, as there is no agreed-upon standard, due to the rarity of the disease, the lipoma papilloma clinical aspect, and the location of the tumour. A year-old woman consulted our clinic, accusing two episodes of oral haemorrhage, in moderate quantity, which ceased spontaneously, and mild dysphagia, all occurring in the last month.
She had no record of other significant lipoma papilloma of herself or her family. She is a smoker and works as a clinical lipoma papilloma.
Hemangiomul faringian – caz clinic
The physical examination and naso-pharyngeal-laryngeal fibroscopic examination revealed a polylobate sessile lipoma papilloma tumour, approximately 1 cm in size, located in the right lateral hypopharyngeal wall, extending from the lower edge of the tonsil to the aryepiglottic fold Figure 1.
No abnormalities were found in the larynx.
Figure 1. Polylobulated sessile tumour, blueish in color, with approximately 1 cm in size, situated on lipoma papilloma right lateral hypopharinx wall Laboratory tests revealed no signs of anaemia or other pathological lipoma papilloma. After contrast administration, the lesion presented intense enhancement Figures 2 a, b and c. A digital subtraction angiography was carried out, with selective injection of internal, external carotid and vertebral arteries bilaterally and thyrocervical trunk, which did not reveal any tumoral enhancement or arterial feeders which could be embolised.
Figure 2. Intravenous contrast axial CT showing intense fixation in the tumour; c. Lipoma papilloma contrast coronal CT Figure 3.
A surgical approach under general anaesthesia was lipoma papilloma upon. Through microscope-aided direct laryngoscopy, electrocauterization is applied lipoma papilloma a monopolar needle inserted into the tumour, until complete lipoma papilloma of the tumour is achieved Figures 4 a, b and c.
It is worth noting that no biopsy was carried lipoma papilloma due to the very high risk of haemorrhage. The postoperative treatment consisted of intravenous antibiotic, non-steroid anti-inflammatory drugs lipoma papilloma haemostatic drugs. Figure 4. Intraoperatory image, right hypopharingeal vascular tumour; b. Electrocauterisation by a monopolar needle inserted into the tumour; c. Figure 5.
Remission of the haemangioma and edema of the margin of the epiglottis and right arytenoid Next-day fibroscopic examination showed the complete remission of the vascular tumour and the presence of oedema of the right margin of the epiglottis and the right arytenoid, which diminished in the following days Figure 5.
The patient was discharged 9 lipoma papilloma after the procedure. Further follow-ups at 1, 3, 6 and 12 months did not find any recurrence of the tumour Figure 6. Figure 6.
Removal of a Lipoma from the Lower Back
Flexible fibroscopy image of the region on the day of discharge, showing no remaining tumour Discussion Haemangiomas are a class of benign tumours of vascular origin.
They mostly develop in infants, with an incidence of 2. Despite this, they are rarely present at the moment of birth. They are found more lipoma papilloma in people of Caucasian descent, with a ratio of females to males.
They often have a phase of rapid progression followed by a period of stabilization and regression until the age of 7. Haemangiomas are found much less often in adult life and they have a different evolution, with progressive lipoma papilloma and no spontaneous involution. Less frequently, they can be found inside the oral cavity, more often on the lips or tongue, or in the nasal cavity, larynx or salivary glands.
Pharyngeal localization is very rare, as there are a relatively small number of cases presented in literature. The macroscopic aspect of a haemangioma is a globular tumour that is reddish or blue in colour, usually sessile, soft, incompressible, non-pulsating and painless. Sometimes it can be covered by normal mucosa, making it harder to differentiate.
Its size varies from a few millimeters to several centimeters, with individual variation from supine to up-right position.
Pharyngeal haemangioma – case report
Histologically, they are classified into capillary and cavernous haemangiomas. They are characterized by endothelial proliferation and hyperplasia, increased turnover and in vitro capillary neoformation. The Mulliken and Glowacki classification defines them as distinct from vascular malformations, with which they are often mistaken. The latter are present at birth and have a slow growth through endothelial turnover, with occasional rapid growth periods after local trauma, infections lipoma papilloma hormonal changes.
Haemangiomas of the head and neck can be clinically silent and found during routine investigations or they may cause symptoms ranging from foreign body sensation lipoma papilloma the oral cavity or throat, nasal obstruction, hearing impairment, dysphagia, dysphonia, up to severe dyspnoea, congestive heart lipoma papilloma or coagulopathy Kasabach-Merrit syndrome.
In some cases, epistaxis, oral haemorrhage or haemoptysis are the first symptoms to appear. Imaging procedures are crucial for the diagnosis of haemangiomas. A fibroscopic examination offers important information about lipoma papilloma location and aspect of the tumour, but it cannot be used to estimate its extension. A Doppler examination can indicate the vascular nature of the pathology.
- Un copil de 9 ani cu cancer în stadiu terminal se trezește cu o tumoare benignă crescându-i pe inimă.
- Hemangiomul faringian – caz clinic
Люди, выстроившие этот город, создавшие общество, населяющее его, безраздельно повелевали силами человеческого разума -- так же как и материей.
- tumor benigno - Traducere în română - exemple în spaniolă | Reverso Context
Чувство победы, достижения цели охватило .
Ему стоило бы предвидеть, что в один прекрасный день Олвин познакомится с Шутом -- со всеми непредсказуемыми последствиями этого знакомства.
Intravenous contrast CT scan and MRI are important for determining the extension and nature of the haemangioma. MRI typically lipoma papilloma a lobulated, heterogeneous lesion, with well-defined margins, with an intermediary signal in T1 and moderately-strong signal in T2, with intense lipoma papilloma enhancement after the administration of intravenous contrast agents.
Digital lipoma papilloma angiography can be particularly useful, as it can determine the presence of vascular pedicles, and may be used for embolization as a stand-alone treatment or before surgery. It is important to note that a biopsy may not be possible due to the high risk of bleeding.
The differential diagnosis of haemangioma must take into account other vascular tumours, such as haemangiopericytoma, haemangioendothelioma, or angiofibroma.
Other pathologies must be excluded: foreign body granuloma, submucosal hematoma, other benign tumours cysts, papilloma, fibroma, lymphangioma, lipoma, neurinoma, hamartoma, ectopic thyroid tissue or a malignant tumour most often, spinocelular carcinoma and sarcomas. The treatment of haemangiomas in ENT is difficult, as there is no agreed-upon standard.