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Pyriform sinus haemangioma: an unusual presentation of an unusual condition

Published online by Cambridge University Press:  10 June 2011

K Hussain  and
Z G G Makura
K Hussain*
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Leeds General Infirmary, UK
Z G G Makura
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Leeds General Infirmary, UK
*
Address for correspondence: Miss Kiran Hussain, The Department of ENT, The General Infirmary at Leeds, Great George Street, Leeds, West Yorkshire, England, LS1 3EX. E-mail: [email protected]
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Abstract

Objective:

We present a rare case of an unusual presentation of a pyriform sinus haemangioma in a normally healthy, Caucasian woman, including our management and a review of the literature.

Case report:

A 44-year-old woman presented complaining of bringing up fresh blood whilst brushing her teeth, dysphonia, food sticking in her throat, and epigastric pain for the preceding 12 months, accompanied by a 17.5 kg weight loss. She underwent pre-operative computed tomography and subsequent complete excision of a pyriform sinus haemangioma using CO2 laser.

Discussion:

Haemangiomas are congenital vascular malformations and can affect any part of the body. They are not prevalent in adults and are rarely found in the pyriform sinus. Their common presenting symptoms and management have been previously documented; however, the presented case is unusual in both its presentation and management.

Keywords

HaemangiomaPyriform SinusDysphoniaLaser Therapy
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 11 , November 2011 , pp. 1196 - 1198
Copyright
Copyright © JLO (1984) Limited 2011

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References

1Jacobs, AH, Walton, RG. The incidence of birthmarks in the neonate. Pediatrics 1976;58:218–21CrossRefGoogle ScholarPubMed
2Ferguson, GB. Hemangioma of the adult and of infant larynx: a review of literature and a report of two cases. Arch Otolaryngol 1944;40:189–95CrossRefGoogle Scholar
3Kleinsasser, O. Microlaryngoscopy and Endolaryngeal Microsurgery: techniques and typical cases. Philadelphia: WB Saunders, 1968Google Scholar
4Sweetser, TH. Hemangioma of the larynx. Laryngoscope 1921;31:797–806CrossRefGoogle Scholar
5Edwin, WC. Cavernous hemangioma of the oral and hypopharynges. Am J Surg 1961;102:798–802Google Scholar
6Yellin, SA, LaBruna, A, Anand, VK. Nd:YAG laser treatment for laryngeal and hypopharyngeal hemangiomas: a new technique. Ann Otol Rhinol Laryngol 1996;105:510–15CrossRefGoogle ScholarPubMed
7Tonsakulrungruang, K. Postcricoid hemangioma. J Med Assoc Thailand 1988;71:466–8Google ScholarPubMed
8Li, X. Rare cavernous haemangioma of the hypopharynx with numerous phleboliths. J Laryngol Otol 1990;104:262–3CrossRefGoogle ScholarPubMed
9Guo, Y, Chu, P, Ming-Tak Ho, D, Chang, S. Haemangioma of the pyriform sinus. Otolaryngol Head Neck Surg 2001;124:707–8CrossRefGoogle ScholarPubMed
10Hazarika, P, Pillai, S, Jacob, SM, Punnoose, SE, Roy, A. Application of potassium-titanyl-phosphate (KTP) laser in the excision of pyriform fossa haemangioma. Am J Otolaryngol 2006;27:136–8CrossRefGoogle Scholar
11McCaffrey, T, Cortese, D. Nd:YAG laser in the treatment of subglottic hemangiomas. Otolaryngol Head Neck Surg 1986;94:382–4Google Scholar
12Healy, GB, Fearon, B, McGill, T. Treatment of subglottic hemangioma with the carbon dioxide laser. Laryngoscope 1980;90:809–13CrossRefGoogle ScholarPubMed
13MacArthur, CJ, Senders, CW, Katz, J. The use of interferon alfa-2a for life threatening hemangiomas. Arch Otolaryngol Head Neck Surg 1995;121:690–3CrossRefGoogle ScholarPubMed
14Teft, M. The radiotherapeutic management of subglottic hemangioma in children. Radiology 1966;86:207–14CrossRefGoogle Scholar
15Froehlich, P, Seid, AB, Morgan, A. Contrasting strategic approaches to the management of subglottic hemangiomas. Int J Pediatr Otorhinolaryngol 1996;36:137–46CrossRefGoogle Scholar
16O'Neill, JV, Snyder, GG, Toomey, J. Cryosurgery of supraglottic cavernous hemangioma. Arch Otolaryngol 1976;102:55–7CrossRefGoogle ScholarPubMed
17Steiner, W, Ambrosch, P. Endoscopic Surgery of the Upper Aerodigestive Tract. Stuttgart: Georg Thiem Verlag, 2000Google Scholar