Volume 35, Issue 4 pp. E98-E101
Case Report

Radiation therapy for life-threatening huge laryngeal hemangioma involving pharynx and parapharyngeal space

Chun–Ming Huang MD

Corresponding Author

Chun–Ming Huang MD

Department of Radiation Oncology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan, Republic of China

Department of Radiation Oncology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan, Province of ChinaSearch for more papers by this author
Ka–Wo Lee MD

Ka–Wo Lee MD

Department of Otolaryngology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan

Department of Otolaryngology, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan

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Chih–Jen Huang MD

Chih–Jen Huang MD

Department of Radiation Oncology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan, Republic of China

Department of Radiation Oncology, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan

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First published: 20 March 2012
Citations: 28

Abstract

Background

Adult hemangiomas are rare, slowly progressing vascular tumors. Potential complications include laryngeal involvement or massive tumor burden.

Methods

A case of recurrent, bulky laryngeal hemangioma involving the parapharyngeal space is presented herein. The clinical course and treatment are described, and a series of MRI studies are compared to demonstrate the treatment response.

Results

A 35-year-old woman presented with progressive hoarseness, neck fullness, and intermittent dyspnea caused by a bulky laryngeal hemangioma. Steroid therapy had a limited response. Radiation therapy with a total dose of 40 Gray (Gy) in 20 fractions successfully relieved her symptoms. Image studies after therapy revealed moderate tumor regression. The patient showed no serious complications during the next 2 years of follow-up.

Conclusion

Radiation therapy may be effective in intractable and function-threatening laryngeal hemangiomas. © 2012 Wiley Periodicals, Inc. Head Neck, 2013

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