Sonography used in the infantile desmoid fibromatosis of postcricoid area: A case report.

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 2∼4 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.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Xia C,Zhu Q,Yue C,Hu M,Li P,Li Z

doi

10.1097/MD.0000000000008500

subject

Has Abstract

pub_date

2017-11-01 00:00:00

pages

e8500

issue

44

eissn

0025-7974

issn

1536-5964

pii

00005792-201711030-00061

journal_volume

96

pub_type

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