A Large Adult Postcricoid Lymphatic Malformation: A Case Report and Literature Review.
Hanpon Klibngern, Tapanut Ariyanon, Chanisa Pornchaisakuldee et al.
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Case in brief
A 36-year-old woman presented with globus sensation, dysphagia, and upper airway obstruction requiring tracheostomy. CT showed a 5 × 4.5 × 3 cm multilocular hypodense lesion in the postcricoid region, diagnosed as a lymphatic malformation. The lesion was removed en bloc using a transoral endoscopic approach with laryngeal suspension and a laparoscopic ultrasonic scalpel. She was decannulated within 2 weeks and remained disease-free at 1 year.
What made this case unusual
The lesion was a large adult-onset lymphatic malformation at the postcricoid site, an uncommon location for this sporadic presentation. Its size made complete resection while preserving function a particular surgical challenge.
Diagnostic / clinical pearl
In an adult with globus, dysphagia, or airway obstruction, consider a postcricoid lesion; CT can define its multilocular extent and inform surgical planning.