Sonography used in the infantile desmoid fibromatosis of postcricoid area: A case report.
Medicine (Baltimore)
; 96(44): e8500, 2017 Nov.
Article
em En
| MEDLINE
| ID: mdl-29095310
ABSTRACT
RATIONALE Infantile desmoid fibromatosis of the postcricoid area is a rare disease and is characterized by a proliferation of fibrous tissue with non-metastasis, local infiltration, and a high rate of recurrence after surgical resection. Currently, ultrasound is scarcely used in the hypopharynx and larynx area. PATIENT CONCERNS A 4-year-old boy presented with hoarseness, deep voice and snoring for 2â¼4 years without any surgical history. On sonography, the lesion was found in the postcricoid area, and the left larynx showed impaired mobility in real time observation. Complete excision with a negative margin in this pivotal anatomic area is impossible, and necessitates a long-time surveillance. DIAGNOSES Infantile desmoid fibromatosis of the postcricoid area was diagnosed according to surgery and histopathology. INTERVENTIONS:
Local excision was carried out to relieve the upper airway narrowing.OUTCOMES:
Relieved hoarseness and snoring were reported on the latest follow-up. A residual lesion was seen in the surgical bed and maintained a stable extent on ultrasound and MR imaging after a year. LESSONS Considering the non-radiation merit and diagnostic ability, ultrasonography is advocated as a valuable supplementary imaging method to CT, MR and laryngoscopy in the juvenile larynx and hypopharynx.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Rouquidão
/
Neoplasias Laríngeas
/
Fibromatose Agressiva
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Cartilagem Cricoide
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Child, preschool
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article