A Case Report of a Vallecular Cyst and Literature Review

Hoang, Tuan Minh; Kim, Beomjune B.

doi:10.1016/j.joms.2015.05.002

Cited by 5 publications

(5 citation statements)

References 14 publications

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“…The vallecular cysts are also called ductal cysts, laryngeal cysts, lymphoepithelial cysts, and mucous retention cysts. [ 5 6 ] These supraglottic cysts account for 10%–20% of all laryngeal cysts which generally arise from the lingual surface of the epiglottis and are thought to develop due to blockage of submucosal ducts as the vallecula show abundant lymphoid and glandular tissues. These cysts are often symptomatic in childhood with the likelihood of serious complications causing obstructive stridor or feeding problems.…”

Section: Discussionmentioning

confidence: 99%

“…The airway management in this scenario may be a challenge to the anesthesiologist regarding intubation. [ 5 6 ] In adults, these cysts are often bilateral, mostly small, generally remain asymptomatic and are detected incidentally at imaging or during clinical examination. Imaging reveals characteristic well defined, unilocular nonenhancing, fluid-density benign cysts without any invasive features [ Table 2 ].…”

Section: Discussionmentioning

confidence: 99%

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Large Vallecular Masses; Differential Diagnosis and Imaging Features

Lahiri

Somashekar

Wittkop

et al. 2018

Journal of Clinical Imaging Science

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Large vallecular masses are an uncommon disease entity which includes a wide spectrum of rare pathologies. These masses may present as purely vallecular in location or appear as an extension from adjacent anatomical sites like tongue base including lingual tonsils, epiglottis, palatine tonsils, epiglottis, and the remainder of supraglottis. Literature review reveals very rare conditions presenting as vallecular mass lesions. The imaging features are generally diagnostic for characterization. However, these masses can exhibit indeterminate appearance at imaging. We present a series of five cases which includes two rare presentations: a case of low-grade cribriform adenocarcinoma of the base of tongue and a vallecular lipoma. The other three cases presented for differential diagnosis including benign vallecular cysts and two cases to show that malignant masses arising from neighboring anatomical sites such as tongue base or supraglottic larynx can exhibit significant vallecular component.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Large Vallecular Masses; Differential Diagnosis and Imaging Features

Lahiri

Somashekar

Wittkop

et al. 2018

Journal of Clinical Imaging Science

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“…Its tumour is not among common disease entities 1 . The commonest vallecular mass is benign retention cyst 2 . Other rare causes include lingual thyroid cyst, thyroglossal cyst, minor salivary gland tumours, lipoma, schwannoma, lymphangioma, haemangioma, granulomatous or infectious diseases, malignant conditions including squamous cell carcinoma, or very rarely lymphoma 3 .…”

Section: Introductionmentioning

confidence: 99%

Mantle Cell Lymphoma: A Rare Vallecular Tumour

Lo¹,

Mohamad²,

Krishnamoorthy³

et al. 2020

MMJ

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Vallecular lymphoma is an extremely rare tumour of oropharynx. We report a case of 61-yearold gentleman presented with severe dysphagia and globus sensation for two months. Patient underwent endoscopic transoral tumour debulking for diagnostic and therapeutic purpose. Histopathologically, patient was diagnosed as mantle cell lymphoma (MCL). In this case report, atypical presentation of the disease, histopathological features and its current treatments are discussed. ÖZVallekular lenfoma, orofarenkste son derece nadir görülen tümördür. İki aydır ciddi disfaji ve globus hissi ile başvuran 61 yaşında erkek bir hastayı sunuyoruz. Hastaya tanı ve tedavi amacıyla endoskopik transoral tümör debulking uygulandı. Histopatolojik olarak hastaya mantle hücreli lenfoma (MCL) tanısı kondu. Bu olgu sunumunda Hastalığın atipik yerleşimi, histopatolojik özellikleri ve güncel tedavileri tartışılmaktadır.

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“…It is separated from the base of the tongue via the median glossoepiglottic fold and bound laterally via the lateral glossoepiglottic fold [4][5]. Histologically, vallecula shows abundant lymphoid and glandular tissue; thus, blockage of the submucosa duct leads to a vallecula cyst, the most typical mass lesion is seen (10-20%) [6][7].…”

Section: Discussionmentioning

confidence: 99%

Large Vallecula Epiglottica Lipoma: A Rare but Fatal Cause of Dysphagia

Sharudin¹,

Thangavelu²,

Roslim³

et al. 2022

Cureus

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Lipoma is a benign mesenchymal tumor with 13% occurrence in the head and neck region. Despite being the commonest type of tumor, it only accounts for 0.6% of the upper aerodigestive tract. We report a case of a 41-year-old gentleman who presented with progressively worsening dysphagia and a muffled voice. A flexible nasopharyngeal endoscope showed a solitary well-lobulated pedunculated cystic-looking mass occupying the oropharynx arising from the vallecular space and lingual surface of the epiglottis with a partially seen mobile posterior vocal cord. CT of the neck showed a single lesion with fat attenuation in the right vallecula and right lateral lingual epiglottis. The patient underwent endoscopic surgical excision and fully recovered post-operatively. Although rare, lipoma must be considered one of the differential diagnoses of midline laryngeal mass. Therefore, prompt excision needs to be performed to prevent a catastrophic outcome.

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A Case Report of a Vallecular Cyst and Literature Review

Cited by 5 publications

References 14 publications

Large Vallecular Masses; Differential Diagnosis and Imaging Features

Large Vallecular Masses; Differential Diagnosis and Imaging Features

Mantle Cell Lymphoma: A Rare Vallecular Tumour

Large Vallecula Epiglottica Lipoma: A Rare but Fatal Cause of Dysphagia

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