AI Article Synopsis

  • * Physical exams and imaging revealed a smooth, vascular mass in the oropharynx, which occupied a large portion of the area, raising concerns about its impact on her swallowing and breathing.
  • * After surgical removal, the mass was identified as a pyogenic granuloma (PG), marking the first documented instance of oropharyngeal PG linked to significant weight loss in medical literature.

Article 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/m]. 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.

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00455-019-10057-2DOI Listing

Publication Analysis

Top Keywords

pyogenic granuloma
8
weight loss
8
tongue base
8
mass
7
huge oropharyngeal
4
oropharyngeal pyogenic
4
granuloma patient
4
patient presenting
4
presenting dysphagia
4
dysphagia 39-year-old
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!