A Case of Intravenous Pyogenic Granuloma Originating in the External Jugular Vein
10.3342/kjorl-hns.2018.00073
- Author:
Sun Woo KIM
1
;
So Yean KIM
;
Seung Ho NOH
;
Sang Hyuk LEE
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. entlsh@hanmail.net
- Publication Type:Case Report
- Keywords:
External jugular vein;
Intravenous lobular capillary hemangioma;
Intravenous pyogenic granuloma;
Pyogenic granuloma
- MeSH:
Adult;
Diagnosis;
Diagnosis, Differential;
Granuloma, Pyogenic;
Head;
Hemorrhage;
Humans;
Jugular Veins;
Korea;
Ligation;
Male;
Neck;
Recurrence;
Surgical Procedures, Operative;
Ultrasonography;
Upper Extremity;
Vascular System Injuries;
Veins
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2019;62(5):307-311
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Intravenous pyogenic granuloma (IVPG), also known as intravenous lobular capillary hemangioma, is an extremely rare form of vascular tumor which derives from the lumen of a vein of the head and neck and upper extremities. The treatment of choice is complete local excision of a small portion of the vein. Since first report in 1979, IVPG has been reported in no more than 60 reports abroad. To our knowledge, IVPG originating in the external jugular vein has never been reported in Korea but has important clinical implication. Accurate preoperative diagnosis of neck mass originating in jugular vein is important to plan operative procedures to avoid vascular injury, excessive bleeding, or incomplete excision. Preoperative radiologic examinations such as ultrasonography, computed tomography are useful as first-line diagnostic tools for differential diagnosis of movable neck mass. With a review of literature, the author reports a case of IVPG arising from the left external jugular vein in a 31-year-old male who complained about a palpable neck mass. This patient was successfully managed by ligation and excision of the vein without any complication and no recurrence was found after 6 months.
