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Transoral excision of a prevertebral lipoma
Introduction Lipomas are the most common soft-tissue tumors in the body. A prevertebral occurance is rare and often only lead to symptoms when they reach large size.
Methods A 52 year old patient presented with coughing and the constant urge to clear the throat. The examination revealed a posterior pharyngeal wall bulging extending from epipharnyx to hypopharnynx. An outpatient performed MRI presented a large homogeneous mass originated in the prevertebral space. Total excision is the treatment of choice. A transcervial surgical approach and a transoral excision were discussed.
Results We performed the transoral surgical excision under general anasthesia. The tumor was completely removed. The histopathologic diagnosis of the lesion was lipoma. Following the excision the patient was relieved from the complaints.
Conclusion With the possibility of increasing size the complete surgical removal is the first choice of treatment. A transoral resection of a huge prevertebral lipoma can be performed.
Article published online:
10 June 2020
© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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