Pyogenic Granuloma of the Larynx: A Case Report.

IF 0.7 Q3 MEDICINE, GENERAL & INTERNAL
International Medical Case Reports Journal Pub Date : 2025-01-27 eCollection Date: 2025-01-01 DOI:10.2147/IMCRJ.S494200
Abdullahi Ali Moallim Hussein, Omar Adam Sheikh, Abdiwahab Abdirahman Mukhtar, Intisar Ahmed Abdi, Nasra Mohamed Ahmed, Shukri Said Mohamed, Mohamed Ali Kahiye, Mohamed Abdikarim Nur, Abdullahi Farah Asseyr
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引用次数: 0

Abstract

Introduction: Pyogenic granulomas are benign, painless vascular tumors on the skin and mucosal surfaces. They are commonly found in the head and neck region, although their occurrence in the larynx is rare. The term "lobular capillary hemangioma" is now used to describe the histological appearance of these tumors more accurately. Predisposing factors for pyogenic granuloma of the larynx have been linked to prior traumatic injuries, such as intubation, previous surgeries, or laryngopharyngeal reflux.

Case presentation: A 33-year-old male visited our clinic with complaints of progressive dysphonia and choking for two months. The patient did not experience dysphagia or dyspnea. There was no history of previous intubation, gastroesophageal reflux disease, or other chronic illnesses. Upon laryngoscopic examination, a polypoid lesion measuring 25×8 mm was found on the posterior commissure of the right vocal cord. No abnormalities were observed during the ear and nose examinations.

Discussion: Pyogenic granuloma, or lobular capillary hemangioma, is a hyperplastic lesion that develops on the skin and mucous membranes. It often occurs in response to trauma or hormonal factors. Histologically, pyogenic granulomas differ from granulation tissues due to their lobular arrangement of capillaries in the deeper portions of the lesion. The term "lobular capillary hemangioma" has been recently introduced to emphasize this phenomenon. Some of the conditions considered in the differential diagnosis include hemangioma, hemangioendothelioma, angiofibroma, angiosarcoma, Kaposi sarcoma, Wegener's granuloma, Crohn's disease, granulomatous infections such as tuberculosis and histoplasmosis, traumatic granuloma, carcinosarcoma, as well as verrucous and squamous cell carcinoma.

Conclusion: We present a case report of lobular capillary hemangioma of the larynx, including its histopathological diagnosis and management course.

喉化脓性肉芽肿1例报告。
简介:化脓性肉芽肿是皮肤和粘膜表面的良性、无痛的血管肿瘤。他们通常发现在头颈部,虽然他们的发生在喉部是罕见的。术语“小叶毛细血管瘤”现在被用来更准确地描述这些肿瘤的组织学外观。喉化脓性肉芽肿的易感因素与以前的创伤性损伤有关,如插管、以前的手术或喉咽反流。病例介绍:一名33岁男性前来就诊,主诉进行性发音障碍和窒息两个月。患者未出现吞咽困难或呼吸困难。既往无插管史、胃食管反流病或其他慢性疾病。经喉镜检查,在右声带后连合处发现一息肉样病变,大小为25×8 mm。耳鼻部检查未见异常。讨论:化脓性肉芽肿,或小叶毛细血管瘤,是一种生长在皮肤和粘膜上的增生性病变。它通常发生在创伤或激素因素的反应中。组织学上,化脓性肉芽肿不同于肉芽组织,因为其病变深层的毛细血管呈小叶状排列。“小叶毛细血管瘤”一词最近被引入来强调这种现象。鉴别诊断中考虑的一些疾病包括血管瘤、血管内皮瘤、血管纤维瘤、血管肉瘤、卡波西肉瘤、韦格纳肉芽肿、克罗恩病、肉芽肿感染,如肺结核和组织胞浆菌病、创伤性肉芽肿、癌肉瘤,以及疣状和鳞状细胞癌。结论:我们报告1例喉小叶毛细血管瘤,包括其病理诊断和治疗过程。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International Medical Case Reports Journal
International Medical Case Reports Journal MEDICINE, GENERAL & INTERNAL-
CiteScore
1.40
自引率
0.00%
发文量
135
审稿时长
16 weeks
期刊介绍: International Medical Case Reports Journal is an international, peer-reviewed, open access, online journal publishing original case reports from all medical specialties. Submissions should not normally exceed 3,000 words or 4 published pages including figures, diagrams and references. As of 1st April 2019, the International Medical Case Reports Journal will no longer consider meta-analyses for publication.
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