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Large Infantile Hemangioma in Chest and Neck Location Causing Subglottic Narrowing and Dyspnoea

Infantile haemangiomas (IH) are the most common softtissue tumours of infancy with a prevalence of 4·5%. Most tumours do not require intervention. Infants with hemangiomas that are life threatening, at risk of ulceration, or at risk of causing significant functional impairment, psychological impact or physical deformity should be however intensively treated. We present a case of 4-month-old female patient who was admitted to the Otolaryngology Clinic due to inspiratory and expiratory dyspnoea gradually intensifying from the first month of life. Endoscopic examination exposed normal larynx with subglottic narrowing of the trachea. CT and MR revealed a large tumour, approximately 10 cm in the CC dimension. The image primarily spoke for a large IH with neck and chest location, causing serious dyspnoea due to affection of subglottic area. Propranolol was administered at a dose of 2 mg/kg per day. In subsequent MR studies gradual regression of the lesion was observed with good clinical course. Lack of visible cutaneous presence likely delayed proper diagnosis and treatment.


Wiktoria Nowak, Marek Bochnia, Monika Kochman and Anna Kołtowska

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