Pedunculated Fibrolipoma of the Hypopharynx: A Case Report
10.22469/jkslp.2022.33.2.115
- Author:
Tae Seong EO
1
;
Hyang Ae SHIN
;
Jeong Hae KIE
;
Ji-Hoon KIM
Author Information
1. Department of Otorhinolaryngology, National Health Insurance Service Ilsan Hospital, Goyang, Korea
- Publication Type:Case Report
- From:Journal of the Korean Society of Laryngology Phoniatrics and Logopedics
2022;33(2):115-118
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Fibrolipomas are a rare microscopic variant of lipomas, characterized by mature adipose tissue interspersed with dense fibrous connective tissue. These lesions are rarely observed in the head and neck region and represent <0.6% of all benign tumors of the larynx and hypopharynx. Their clinical presentation depends on the location and size of lesions. Patients present with variable symptoms; however, fibrolipomas of the larynx and hypopharynx are clinically important because these tumors can cause unpredictable airway obstruction, particularly during general anesthesia induction. We present a case of a hypopharyngeal fibrolipoma in a 61-year-old patient with frequent dyspnea, dysphagia, and muffled voice. Laryngoscopy revealed a well-demarcated pedunculated ovoid mass involving the larynx. We performed laryngomicrosurgery using a carbon dioxide laser for surgical excision and subsequent evaluation confirmed the diagnosis of fibrolipoma. We report a case of hypopharyngeal fibrolipoma, together with a literature review.