DOI QR코드

DOI QR Code

A Case Report of Vallecula Angioleiomyoma

후두개곡의 혈관평활근종 환자 예

  • Ye Hwan Lee (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Korea University Ansan Hospital) ;
  • Byung Jae Kang (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Korea University Ansan Hospital) ;
  • Min Suk Kim (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Korea University Ansan Hospital) ;
  • Hong Jin Kim (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Korea University Ansan Hospital) ;
  • Soon Young Kwon (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Korea University Ansan Hospital) ;
  • Kyung Ho Oh (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Korea University Ansan Hospital)
  • 이예환 (고려대학교 의과대학 안산병원 이비인후 두경부외과학교실) ;
  • 강병재 (고려대학교 의과대학 안산병원 이비인후 두경부외과학교실) ;
  • 김민석 (고려대학교 의과대학 안산병원 이비인후 두경부외과학교실) ;
  • 김홍진 (고려대학교 의과대학 안산병원 이비인후 두경부외과학교실) ;
  • 권순영 (고려대학교 의과대학 안산병원 이비인후 두경부외과학교실) ;
  • 오경호 (고려대학교 의과대학 안산병원 이비인후 두경부외과학교실)
  • Received : 2023.09.27
  • Accepted : 2023.11.20
  • Published : 2024.05.30

Abstract

Angioleiomyoma is benign smooth muscle tumor originating from the vascular wall. While they can occur in various anatomical locations, they are rarely reported in the vallecula region of the oropharynx. We present a case of a 58-year-old female patient with a five-year history of progressive dysphagia and throat discomfort. Laryngoscopy revealed a large, soft, mobile mass located on the right side of the vallecula. Radiological imaging further characterized the lesion as a well-circumscribed, heterogeneous mass. Surgical intervention in the form of Transoral Videolaryngoscopic Surgery (TOVS) was performed, leading to the successful removal of the mass. Histopathological analysis confirmed the diagnosis of angioleiomyoma.

Keywords

References

  1. Hachisuga T, Hashimoto H, Enjoji M. Angioleiomyoma. A clinicopathologic reappraisal of 562 cases. Cancer. 1984;54:126-130. https://doi.org/10.1002/1097-0142(19840701)54:1<126::AID-CNCR2820540125>3.0.CO;2-F
  2. Perardi F, Abbate G, Iannuzzelli LR, Contini R, De Munari M, Sciuto FG, et al. Angioleiomyoma of the Larynx: A Case Report and Literature Review. Ear Nose Throat J. 2020;99:658-663. https://doi.org/10.1177/0145561320934930
  3. Wang CP, Chang YL, Sheen TS. Vascular leiomyoma of the head and neck. Laryngoscope. 2004;114:661-665. https://doi.org/10.1097/00005537-200404000-00012
  4. Ramesh P, Annapureddy SR, Khan F, Sutaria PD. Angioleiomyoma: a clinical, pathological and radiological review. Int J Clin Pract. 2004;58:587-591. https://doi.org/10.1111/j.1368-5031.2004.00085.x
  5. Ishikawa S, Fuyama S, Kobayashi T, Taira Y, Sugano A, Iino M. Angioleiomyoma of the tongue: a case report and review of the literature. Odontology. 2016;104:119-122. https://doi.org/10.1007/s10266-014-0175-0
  6. Evans KL, Lowe DG, Keene MH. Vallecula angioleiomyoma: unusual cause of acute adult airway obstruction. J Laryngol Otol. 1990;104:341-343. https://doi.org/10.1017/S0022215100112654
  7. Lahiri AK, Somashekar KK, Wittkop B, Ayshford C. Large vallecular masses; Differential diagnosis and imaging features. J Clin Imaging Sci. 2018;8:26.
  8. Lee SY, Kim DS, Jang GH, Kim JK. Angiomyolipoma of the Vallecula : A Case Report. Korean Journal of Head & Neck Oncology. 2015;31:43-45.
  9. Eley KA, Alroyayamina S, Golding SJ, Tiam RN, Watt-Smith SR. Angioleiomyoma of the hard palate: report of a case and review of the literature and magnetic resonance imaging findings of this rare entity. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012;114:e45-49.
  10. Zhao X, Yu D, Zhao Y, Liu Y, Qi X, Jin C. A case of laryngeal angioleiomyoma and review of literature. Int J Clin Exp Med. 2015;8:1446-1452.
  11. Brooks JK, Nikitakis NG, Goodman NJ, Levy BA. Clinicopathologic characterization of oral angioleiomyomas. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;94:221-227. https://doi.org/10.1067/moe.2002.125276
  12. Kim HY, Jung SN, Kwon H, Sohn WI, Moon SH. Angiomyoma in the buccal space. J Craniofac Surg. 2010;21:1634-1635. https://doi.org/10.1097/SCS.0b013e3181ef67f1