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Jaafar R.,Universiti Sains Malaysia | Tharumalingam V.,Sarawak General Hospital Kuching | Lazim N.M.,Universiti Sains Malaysia | Uchang J.,Sarawak General Hospital Kuching
International Medical Journal | Year: 2013

Objective: To report a third case of an unusual presentation of hemangioma in head and neck region in the retropharyngeal space. Case report: A 29-year-old lady presented with persistent dysphagia to both solid and liquid for three months duration. Intraorally, centrally located bulge at retropharyngeal area is noted. The magnetic resonance imaging study revealed soft tissue mass in the retropharyngeal space at the oropharyngeal level measuring 2.8 x 1.5 x 5.0 cm. Right transcervical approach was done to excise the tumor and histopathological examination confirmed it as cavernous hemangioma. She did well and at six months post operatively there was no sign of recurrence noted. Discussion: Retropharyngeal hemangioma is an extremely rare entity because this space only contains retropharyngeal lymph nodes and fat.Magnetic resonance imaging provides better detection and delineation of the hemangioma than computed tomography. Management of intramuscular hemangioma should be individualized according to tumor location and extent, growth rate, site, patient wellbeing and cosmetic consideration. The optimal management is wide surgical resection. Conclusions: Hemangioma should be considered in the differential diagnosis whenever a mass of soft tissue density is encountered in deep head and neck masses. The optimal treatment of an intramuscular cavernous hemangioma is complete resection of the tumor with possible role of embolization in large tumours. Long-term clinical and radiological follow-ups are necessary for early detection of the recurrence. © 2013 Japan International Cultural Exchange Foundation & Japan Health Sciences University.

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