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Dysphagia

pp 1–3 | Cite as

A Huge Oropharyngeal Pyogenic Granuloma in a Patient Presenting with Dysphagia

  • Ilker Burak ArslanEmail author
  • Samira Abdurahmanova Ozkara
  • Engin Baser
  • Ibrahim Cukurova
Clinical Conundrum
  • 16 Downloads

Abstract

A 39-year-old woman experienced dyspnea and progressive dysphagia for 1 year. Dysphagia appeared for solid foods at the beginning but advanced for liquids. She described 17 kg weight loss in the past 6 months and her current weight was 38 kg [body mass index (BMI) 16 kg/m2]. Dyspnea presented with effort and lying was included after 1 month. There was no disease or surgery except chronic hepatitis C in her medical history. Physical examination revealed hyponasal speech and a mass beside the tongue base. A smoothly surfaced 4 × 3-cm vascular mass in oropharynx was determined in endoscopic examination. The mass was mobile and occupied 80% of oropharyngeal area. Contrast-enhanced computed tomography revealed hypervascular 4 × 4 × 3 cm pedunculated (8 × 13 mm) mass arising from the right tongue base. The mass and the surrounding mucosa with a thin layer of tongue musculature were excised using cold instrumentation and bipolar cautery. Histologically the mass was reported as pyogenic granuloma (PG). This is the first study to report on oropharyngeal PG causing obvious weight loss in literature.

Keywords

Dysphagia Dyspnea Pyogenic granuloma Oropharynx 

Notes

Supplementary material

Supplementary material 1 (MOV 15376 kb)

Supplementary material 2 (MOV 18109 kb)

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Ilker Burak Arslan
    • 1
    Email author
  • Samira Abdurahmanova Ozkara
    • 1
  • Engin Baser
    • 1
  • Ibrahim Cukurova
    • 1
  1. 1.University of Health Science, Izmir Tepecik Egitim ve Arastirma Hastanesi KBB KlinigiIzmirTurkey

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