Korean J Otorhinolaryngol-Head Neck Surg.  2018 Oct;61(10):552-556. 10.3342/kjorl-hns.2017.00157.

A Case of Retropharyngeal Huge Lipoma Causing Dysphagia

Affiliations
  • 1Department of Otolaryngology-Head and Neck Surgery, Chungnam National University College of Medicine, Daejeon, Korea. strive1005@hanmail.net
  • 2Research Institute for Medical Science, Chungnam National University College of Medicine, Daejeon, Korea.
  • 3Department of Pathology, Chungnam National University College of Medicine, Daejeon, Korea.

Abstract

Lipomas of the retropharyngeal space are rare, and they do not cause symptoms until they reach a large size. Although retropharyngeal lipoma is an uncommon entity, several reports have appeared about it in the literature, where the treatment has routinely been surgical excision. We present a case of huge lipoma of the retropharyngeal space. It extended from the oropharynx to the inferior portion of thyroid gland, causing symptoms of globus and dysphagia in a 74-year-old male. The patient had multiple medical problems and had been on anticoagulants, so we approached the mass via transcervical incision. After a complete surgical resection, all the symptoms of the patient improved. A large retropharyngeal lipoma could also be differentially diagnosed as a laryngopharyngeal mass presenting symptoms of globus and dysphagia.

Keyword

Dysphagia; Lipoma; Retropharyngeal space

MeSH Terms

Aged
Anticoagulants
Deglutition Disorders*
Humans
Lipoma*
Male
Oropharynx
Thyroid Gland
Anticoagulants
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