Vol.96 No.11 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 96 No.11 November 2003
A Case of Hypopharyngeal Lipoma with
Papillary Carcinoma of the Thyroid Gland
Kazuhiko Nario and Hiroshi Miyahara
(Osaka Prefectural General Hospital)
Hiroshi Kajikawa
(Osaka University)
We reported a rare case of lipoma in the hypopharynx with thyroid carcinoma. A 49-year-old man complaining of pharyngeal discomfort and feeling of dyspnea was referred to our hospital. Fiberscopy demonstrated a smooth mass arising from the posterior wall of the hypopharynx. He also demonstrated an elastic-hard mass in the left thyroid gland. Computed tomography (CT) and magneteic resonance imaging (MRI) demonstrated a well circumscribed mass in the hypopharynx. Under general anesthesia, hypopharyngeal tumor was excised by lateral pharyngotomy not by rigid esophagoscope. Because of difficulties in distinguishing between lipoma and liposarcoma preoperatively, we chose lateral pharyngotomy. At the same time, we performed hemithyroidectomy with neck dissection. There has been no sign of recurrence over a two-year follow-up period.
Key words : lipoma, hypopharynx, lateral pharyngotomy