Hemangiom papilom. Hemangiomul

Papiloamele – ce sunt și cum le putem trata

We present the case of a year-old female patient, accusing oral haemorrhage and mild dysphagia.

Pharyngeal haemangioma – case report

Clinical examination, flexible fibroscopy hemangiom papilom imaging pointed to a diagnosis of a haemangioma of the right hypopharynx. A microscopic laryngoscopy procedure was carried out, with intratumoral monopolar electrocauterization which led to a complete retraction of the tumour.

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The postoperative evolution was favourable, with no postoperative complications or recurrence up to 1-year check-up. Keywords haemangioma, angiography, monopolar electrocauterization Rezumat Autorii prezintă hemangiom papilom unei paciente în vârstă de 31 de ani care se internează în clinica noastră pentru sângerare exteriorizată oral şi disfagie uşoară. Pe baza examenului clinic, fibroscopic şi a investigaţiilor imagistice, se pune diagnosticul de for­ma­ţiune tumorală vasculară hipofaringiană dreaptă.

Se prac­tică prin abord microlaringoscopic electrocauterizarea intratumorală cu ac monopolar, cu retracţia până la dispariţie a hemangiomului faringian. Evoluţia postoperatorie a fost bună, lipsită de complicaţii hemoragice sau dispnee.

hemangiom papilom

Nu s-a constatat recidivă tumorală la ultimul control efectuat la hemangiom papilom an postoperator. Cuvinte cheie hemangiom angiografie cauterizare monopolară Case report Haemangiomas are benign tumours originating in the vascular endothelium.

They represent a type of tumour rarely encountered in clinical practice, especially in the pharynx, with a small number of cases cited in literature. The treatment represents a challenge, as there is no agreed-upon standard, due to the rarity of the disease, the variable clinical aspect, and the location of the tumour. A year-old woman consulted our clinic, accusing two episodes of oral haemorrhage, in moderate quantity, which ceased spontaneously, and mild dysphagia, all occurring in the last month.

She had no record of other significant illness of herself or her family.

Dintre tumorile benigne ale conjunctivei, putem aminti urmatoarele formatiuni: papilomul este o tumora epiteliala benigna adenomul sebaceu al carunculei tumora benigna glandulara oncocitomul tumora benigna glandulara adenoamele conjunctivei bulbare tumori benigne glandulare lipomul tumora benigna a tesutului adipos angiomul si limfangiomul tumori benigne de origine vasculara nevul si dermoepiteliomul Parinaud tumori benigne pigmentare neurofibromul conjunctivei tumora benigna nervoasa granulomul telangiectazic tumora benigna inflamatorie. Vom detalia in continuare principalele formatiuni tumorale ale membranei conjunctivale. Hemangiom papilom Papilomul conjunctival este o formatiune tumorala benigna a membranei conjunctivale.

She is a smoker and works as a clinical nurse. The physical examination and naso-pharyngeal-laryngeal fibroscopic examination revealed a polylobate sessile blueish tumour, approximately 1 cm in size, located in the right lateral hypopharyngeal wall, extending from the lower edge of the tonsil to the aryepiglottic hemangiom papilom Figure 1.

No abnormalities were found in the larynx. Figure 1. Polylobulated sessile tumour, blueish in hemangiom papilom, with approximately 1 cm in size, situated on the right lateral hypopharinx wall Laboratory tests revealed no signs of anaemia or other pathological findings.

Histopathology Breast--Intraductal papilloma

After contrast administration, the lesion presented intense enhancement Figures 2 a, b and hemangiom papilom. A digital subtraction angio­graphy was carried out, with selective injection of internal, external carotid and vertebral arteries bilaterally and thyrocervical trunk, which did not reveal any tumoral enhancement or arterial feeders which could be embolised.

Figure 2. Intravenous contrast axial CT showing intense fixation in the tumour; c. Intravenous contrast coronal CT Figure 3. A surgical approach under general anaesthesia was decided upon.

Ce sunt papiloamele?

Through microscope-aided direct laryngoscopy, electrocauterization is applied via a monopolar needle inserted into the tumour, until complete retraction of the tumour is achieved Figures 4 a, b and c.

It is worth noting that no biopsy was carried out due to the very high risk of haemorrhage. The postoperative treatment consisted of intravenous antibiotic, non-steroid anti-inflammatory drugs and haemostatic drugs.

Figure 4. Intraoperatory image, right hypopharingeal vascular tumour; b. Electrocauterisation by hemangiom papilom monopolar needle inserted into the tumour; c. Figure 5. Remission of the haemangioma and edema of the margin of the epiglottis and right arytenoid Next-day fibroscopic examination showed the complete remission of the vascular tumour and the presence of oedema of the right margin of the epiglottis and the right arytenoid, which diminished in the following days Figure 5.

The patient was discharged 9 days after the procedure. Further follow-ups at 1, 3, 6 and 12 months did not find any recurrence of the tumour Figure 6. Hemangiom papilom 6. Flexible fibroscopy image of the region on the day of discharge, showing no remaining tumour Discussion Haemangiomas are a class of hemangiom papilom tumours of hemangiom papilom origin. They mostly develop in infants, with an incidence of 2.

Despite this, they are rarely present at the moment hemangiom papilom birth. They are found more often in people of Caucasian descent, with a ratio of females to hemangiom papilom.

Tumorile benigne rinosinusale

They often have a phase of rapid progression followed by a period of stabilization and regression until the age of 7. Haemangiomas are found much less hemangiom papilom in adult life and they have a different evolution, with progressive growth and no spontaneous involution.

Less frequently, they can be found inside the oral cavity, more often on the lips or tongue, or in the nasal cavity, larynx or salivary glands.

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Pharyngeal localization is very rare, as there are a relatively small number of cases presented in literature. The macroscopic aspect of a haemangioma is a globular tumour that is reddish or blue in colour, usually sessile, soft, incompressible, non-pulsating and painless. Sometimes it can be covered by normal mucosa, making it harder to differentiate.

Its size varies from a few mil­limeters to hemangiom papilom centimeters, with hemangiom papilom variation from supine to up-right position. Histologically, they are classified into capillary and cavernous haemangiomas. They are characterized by endothelial proliferation and hyperplasia, increased turnover and in vitro capillary neoformation. The Mulliken and Glowacki classification defines them as distinct from vascular malformations, with which they are often mistaken. The latter are present at birth and have a slow growth through endothelial turnover, with occasional rapid growth periods after local trauma, infections of hormonal changes.

Haemangiomas of the head and hemangiom papilom can be clinically silent and found during routine investigations or they may cause symptoms ranging from foreign body sensation in the oral cavity or throat, nasal obstruction, hearing impairment, dysphagia, dysphonia, up to severe dyspnoea, congestive heart failure or coagulopathy Kasabach-Merrit syndrome. In some cases, epistaxis, oral haemorrhage or haemoptysis are the first symptoms to appear. Imaging procedures are crucial for the diagnosis of haemangiomas.

Dermatologie Andra miercuri, 5 decembrie Papiloamele sunt leziuni ale pielii care sunt extrem de neplăcute. Se transmit prin virusul HPV și cele genitale poartă riscul de complicații oncologice.

A fibroscopic examination offers important information about the location and aspect of the tumour, but it cannot be used to estimate its extension. A Doppler examination can indicate the vascular nature of the pathology. Intravenous contrast CT scan and MRI are important for determining the extension and nature hemangiom papilom the haemangioma. MRI typically describes a lobulated, heterogeneous lesion, with well-defined margins, with an intermediary signal in T1 and moderately-strong signal in T2, with intense signal enhancement after the administration of intravenous contrast agents.

Digital hemangiom papilom angiography can be particularly useful, as it can determine the presence of vascular pedicles, and may be used for embolization as a stand-alone treatment or before surgery. It is important to note that a biopsy may not be possible due to hemangiom papilom high risk of bleeding.

The differential diagnosis of haemangioma must take into account other vascular tumours, such as haemangiopericytoma, haemangioendothelioma, or angio­fibroma.

Hemangiomul faringian – caz clinic

Other pathologies must be excluded: foreign body granuloma, submucosal hematoma, other benign tumours cysts, papilloma, fibroma, lymphangioma, lipoma, neurinoma, hamartoma, ectopic thyroid hemangiom papilom or a malignant tumour most often, spinocelular carcinoma and sarcomas.

The treatment of hemangiom papilom in ENT is difficult, as there is no agreed-upon standard. Most haemangiomas do not require treatment and are simply monitored. The pharmaceutical treatment is possible in juvenile cases where corticosteroids can be administered or, more recently, beta-receptor blockers.

Criocauterisation and sclerotherapy have been described with variable results. Embolization may be attempted if there is a suitable vascular pedicle. Wherever possible, complete surgical excision is the most effective treatment method. Choosing any method must take into account the risks during and after surgery that derive from the vascular nature of the tumour. Possible complications include tissue necrosis, infection, oedema or hematoma of the surrounding regions, which can lead to acute respiratory distress, early and late post operatory bleeding, with possible flooding of the airways.

Papiloamele – ce sunt și cum le putem trata

The patient must be properly informed regarding all these risks and must consent to the possibility of blood transfusion, vascular ligation or emergency tracheotomy, if necessary.

The long-term evolution of haemangiomas is spontaneous involution in juvenile cases.

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In adults who have suffered surgery, recurrence is possible after 3 to 6 months. The hemangiom papilom findings in the case presented: Very rare location of the tumour in an adult, at the pharyngeal level. Oral haemorrhage was the cât durează tratamentul viermilor for consultation and discovery of the pathology.

The diagnosis was based on imaging, instead of biopsy, due to the risk of bleeding close to the airways, which is difficult to control.

hemangiom papilom masa paraziților