Chun-Ming Huang1, Ka-Wo Lee, Chih-Jen Huang. 1. Department of Radiation Oncology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan, Republic of China. ccjjhh@kmu.edu.tw
Abstract
BACKGROUND: Adult hemangiomas are rare, slowly progressing vascular tumors. Potential complications include laryngeal involvement or massive tumor burden. METHODS: A case of recurrent, bulky laryngeal hemangioma involving the parapharyngeal space is presented herein. The clinical course and treatment are described, and a series of MRI studies are compared to demonstrate the treatment response. RESULTS: A 35-year-old woman presented with progressive hoarseness, neck fullness, and intermittent dyspnea caused by a bulky laryngeal hemangioma. Steroid therapy had a limited response. Radiation therapy with a total dose of 40 Gray (Gy) in 20 fractions successfully relieved her symptoms. Image studies after therapy revealed moderate tumor regression. The patient showed no serious complications during the next 2 years of follow-up. CONCLUSION: Radiation therapy may be effective in intractable and function-threatening laryngeal hemangiomas.
BACKGROUND: Adult hemangiomas are rare, slowly progressing vascular tumors. Potential complications include laryngeal involvement or massive tumor burden. METHODS: A case of recurrent, bulky laryngeal hemangioma involving the parapharyngeal space is presented herein. The clinical course and treatment are described, and a series of MRI studies are compared to demonstrate the treatment response. RESULTS: A 35-year-old woman presented with progressive hoarseness, neck fullness, and intermittent dyspnea caused by a bulky laryngeal hemangioma. Steroid therapy had a limited response. Radiation therapy with a total dose of 40 Gray (Gy) in 20 fractions successfully relieved her symptoms. Image studies after therapy revealed moderate tumor regression. The patient showed no serious complications during the next 2 years of follow-up. CONCLUSION: Radiation therapy may be effective in intractable and function-threatening laryngeal hemangiomas.
Authors: Dr M Beghdad; Dr K Choukry; Dr A Mkhatri; Dr Z El Krimi; Pr Y Oukessou; Pr S Rouadi; Pr R Abada; Pr M Roubal; Pr M Mahtar Journal: Ann Med Surg (Lond) Date: 2020-10-23