Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
권호 표지
DOI QR코드

DOI QR Code

A Case of Giant Lobular Capillary Hemangioma in Glottis Causing Airway Obstruction

기도 폐색을 유발한 성문부 거대 소엽성 모세관 혈관종 1예

  • Choi, Jeon Ha (Department of Otolaryngology-Head and Neck surgery, Veterans Health Service Medical Center) ;
  • Lim, Sung Hwan (Department of Otolaryngology-Head and Neck surgery, Veterans Health Service Medical Center) ;
  • Lee, Mi Ji (Department of Pathology, Veterans Health Service Medical Center) ;
  • Kim, Seung Woo (Department of Otolaryngology-Head and Neck surgery, Veterans Health Service Medical Center)
  • 최전하 (중앙보훈병원 이비인후과) ;
  • 임성환 (중앙보훈병원 이비인후과) ;
  • 이미지 (중앙보훈병원 병리과) ;
  • 김승우 (중앙보훈병원 이비인후과)
  • Received : 2016.05.01
  • Accepted : 2016.05.24
  • Published : 2016.05.30
Download PDF
⟨ Previous Next ⟩

Abstract

The lobular capillary hemangioma (LCH) was previously known to pyogenic granuloma and is benign vascular lesion which grows rapidly on skin and mucosa. It arises from whole body, but oral and nasal cavities are most predilection sites in the head and neck area. The laryngeal LCH looks like a granulomatous lesion of posterior glottis and its common etiology are tracheal intubation and laryngopharyngeal reflux disease etc. The LCH in larynx can cause blood tinged sputum and lump sense. The lesions refractory to medical therapy or causing dyspnea may require surgical excision. A 74-year-old man who presented gradually aggravated dyspnea, lump sensation and hoarseness of one month came to our hospital. The stroboscopic examination revealed large well-margined glottic mass. It was excised with $CO_2$ laser and finally diagnosed as LCH. We present a rare unique case of glottic LCH with a review of literatures.

Keywords

References

  1. El-Sayed Y, Al-Serhani A. Lobular capillary hemangioma (pyogenic granuloma) of the nose. J Lanryngol otol 1997;111:941-945. https://doi.org/10.1017/S0022215100139027
  2. Matthew M, Garett BA, Walter T. Obstructive pyogenic granuloma as a result of blunt laryngeal trauma. Otolaryngology-Head and Neck surgery 2007;136:89-90.
  3. Leyden JJ, Master GH. Oral cavity pyogenic granuloma. Arch Dermatol 1997;108:226-228.
  4. Puxeddu R, Berlucchi M, Ledda GP, Parodo G, Farina D, Nicolai P. Lobular capillary hemangioma of the nasal cavity: a retrospective study on 40 patients. Am J Rhinol 2006;20(4):480-484. https://doi.org/10.2500/ajr.2006.20.2878
  5. Kenneth O. Devancy, Alessandra R, Alfio F. Vocal process granuloma of the larynx-recognition, differential diagnosis and treatment. Oral oncology 2005;41(7):666-669. https://doi.org/10.1016/j.oraloncology.2004.11.002
  6. Mills SE, Cooper PH, Fechner RE. Lobular capillary hemangioma: the underlying lesion of pyogenic granuloma. A study of 73 cases from the oral and nasal mucous membranes. Am J Surg Pathol. 1980;4:470- 479.
  7. Walner DL, Parker NP, Kim OS, Angeles RM, Stich DD. Lobular capillary hemangioma of the neonatal larynx. Arch Otolaryngol Head Neck Surg. 2008;134:272-277. https://doi.org/10.1001/archoto.2007.47
  8. Matthew M, Garett BA, Walter T. Obstructive pyogenic granuloma as a result of blunt laryngeal trauma. Otolaryngol Head Neck Surg 2007;136:489-490. https://doi.org/10.1016/j.otohns.2006.10.005
  9. Wang SG, Chon KM, Yoon IK, Kim DK, Lee SH, Park JW, et al. The effect of topical inhalant steroid (Budesonide, Pulmocort) in treatment of intubation granuloma. Korean J Otolaryngol 1992;35:183-190.
  10. Ko JS, Park HW, Kim JP, Woo SH. One case report of obstructing pyogenic granuloma. J Korean Soc Laryngol Phoniatr Logoped 2010;21(2):139-141.
  11. Ehmann LM, Ruzicka T, Wollenberg A. Cutaneous side-effects of EGFR inhibitors and their management. Skin Therapy Lett. 2011;16:1-3.
  12. Whitney A. High. Gefitinib: A Cause of Pyogenic Granuloma like Lesions of the Nail.Arch Dermatol 2006;142(7):927-947.
  13. Xu Q, Yin X, Sutedjo J, Sun J, Jiang L, Lu L. Lobular Capillary Hemangioma of the Trachea. Arch Iran Med. 2015;18(2):127-129.
  14. Kwak SG, Kim CD, Kim EJ, Kim SW. A case of coexistent squamous cell cancer with granuloma in posterior glottis. Korean J Otorhinolaryngol-Head Neck Surg 2016;59(3):246-249. https://doi.org/10.3342/kjorl-hns.2016.59.3.246
  15. David L, Noah P, Parkerm BA, Oliver S, Ronald M, Duane D. Lobular Capillary Hemangioma of the Neonatal Larynx. Arch otolaryngology, Head & Neck surgery 2008;134(3):272-277. https://doi.org/10.1001/archoto.2007.47