以严重吞咽困难为表现的巨大口咽部血管脂肪瘤的外科治疗：一例病例报告

文献信息

中文摘要

背景： 口咽部脂肪瘤罕见，占良性口咽部肿瘤不足5%。大多数在生长至足以引起梗阻症状前保持无症状。口咽部血管脂肪瘤极为罕见，可表现为吞咽困难等严重影响生活的症状。及时诊断和完整手术切除可获得可接受的结果。方法：我们报告一例59岁男性，表现为为期一年的进行性吞咽困难和显著体重下降。内镜评估和影像学检查发现一个起源于口咽部的带蒂肿块。术前气管切开后，经口入路成功切除病变。组织病理学检查证实血管脂肪瘤的诊断。结果：术后患者吞咽困难完全缓解，并在随访期间体重恢复。结论：口咽部血管脂肪瘤虽罕见，但可导致严重吞咽困难；术前气道管理联合经口完整切除可获得良好结局。

英文摘要

Lipomas of the oropharynx are rare, accounting for less than 5% of benign oropharyngeal neoplasms. Most remain asymptomatic until they grow large enough to cause obstructive symptoms. Oropharyngeal angiolipomas are extremely rare and can present with life-altering symptoms such as dysphagia. Prompt diagnosis and complete surgical excision yield acceptable outcomes. We report the case of a 59-year-old male presenting with a one-year history of progressive dysphagia and significant weight loss. Endoscopic evaluation and imaging revealed a pedunculated mass originating from the oropharynx. The lesion was successfully excised via a transoral approach following preoperative tracheostomy. Histopathological examination confirmed the diagnosis of an angiolipoma. Postoperatively, the patient experienced complete resolution of dysphagia and regained weight during follow-up visits.