Large Vallecula Epiglottica Lipoma: A Rare but Fatal Cause of Dysphagia.

Autor:	Sharudin SN; Otorhinolaryngology-Head and Neck Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS., Thangavelu T; Otorhinolaryngology-Head and Neck Surgery, Hospital Ampang, Selangor, MYS., Roslim SN; Otorhinolaryngology-Head and Neck Surgery, Hospital Ampang, Selangor, MYS., Hitam S; Otorhinolaryngology-Head and Neck Surgery, Hospital Ampang, Selangor, MYS., Mat Baki M; Otorhinolaryngology-Head and Neck Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2022 Oct 13; Vol. 14 (10), pp. e30250. Date of Electronic Publication: 2022 Oct 13 (Print Publication: 2022).
DOI:	10.7759/cureus.30250
Abstrakt:	Lipoma is a benign mesenchymal tumor with 13% occurrence in the head and neck region. Despite being the commonest type of tumor, it only accounts for 0.6% of the upper aerodigestive tract. We report a case of a 41-year-old gentleman who presented with progressively worsening dysphagia and a muffled voice. A flexible nasopharyngeal endoscope showed a solitary well-lobulated pedunculated cystic-looking mass occupying the oropharynx arising from the vallecular space and lingual surface of the epiglottis with a partially seen mobile posterior vocal cord. CT of the neck showed a single lesion with fat attenuation in the right vallecula and right lateral lingual epiglottis. The patient underwent endoscopic surgical excision and fully recovered post-operatively. Although rare, lipoma must be considered one of the differential diagnoses of midline laryngeal mass. Therefore, prompt excision needs to be performed to prevent a catastrophic outcome. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Sharudin et al.)
Databáze:	MEDLINE
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