DOI QR코드

DOI QR Code

이하공간에 발생한 점액선 선종양 과오종 1예

A Case of Mucinous Gland Adenomatoid Hamartoma Originated from Submental Space

  • 김상욱 (한림대학교 의과대학 춘천성심병원 이비인후-두경부외과학 교실) ;
  • 이성민 (한림대학교 의과대학 춘천성심병원 이비인후-두경부외과학 교실) ;
  • 이강현 (한림대학교 의과대학 춘천성심병원 이비인후-두경부외과학 교실) ;
  • 박기준 (한림대학교 의과대학 춘천성심병원 이비인후-두경부외과학 교실) ;
  • 박혜상 (한림대학교 의과대학 춘천성심병원 이비인후-두경부외과학 교실)
  • Kim, Sang Wook (Department of Otorhinolaryngology-Head and Neck Surgery, Chuncheon Sacred Heart Hospital, Hallym University, College of Medicine) ;
  • Lee, Sung Min (Department of Otorhinolaryngology-Head and Neck Surgery, Chuncheon Sacred Heart Hospital, Hallym University, College of Medicine) ;
  • Lee, Kang Hyun (Department of Otorhinolaryngology-Head and Neck Surgery, Chuncheon Sacred Heart Hospital, Hallym University, College of Medicine) ;
  • Park, Ki Joon (Department of Otorhinolaryngology-Head and Neck Surgery, Chuncheon Sacred Heart Hospital, Hallym University, College of Medicine) ;
  • Park, Hae Sang (Department of Otorhinolaryngology-Head and Neck Surgery, Chuncheon Sacred Heart Hospital, Hallym University, College of Medicine)
  • 투고 : 2019.08.29
  • 심사 : 2019.11.07
  • 발행 : 2019.11.30

초록

Hamartomas are non-neoplastic malformations or congenital errors of tissue development. Hamartoma is composed by an excessive growth of mature tissue present in wrong proportions and abnormal arrangements. The lesion usually presents as a submucosal mass with ill-defined margins. Hamartoma occurs in all areas of the body, especially in the liver, spleen, kidney and lung. However, hamartoma is very rare in the head and neck. Presenting symptoms of hamartoma are typically vague and nonspecific. Treatment of hamartomas consists of adequate surgical excision. We present a 59 year-old male patient who presented with submental swelling. Malignancy could not be ruled out with preoperative radiologic examination, so surgical excision was planned. The mass was excised with transcervical approach. Histopathologic examination has confirmed the mass as a mucinous gland adenomatoid hamartoma.

키워드

참고문헌

  1. Albrecht E. Uber hamartome. Verh Dtsch Ges Pathol. 1904;7:153-157.
  2. Lupovitch A, Salama D, Batmanghelichi O. Benign hamartomatous polyp of the palatine tonsil. J Laryngol Otol. 1993;107:1073-1075. https://doi.org/10.1017/S0022215100125332
  3. Park KH, Kwon SU, Yoon SW, Joo JE. A case of adenomatoid hamartoma originated from nasal cavity. Korean J Otorhinolaryngol-Head Neck Surg. 2004;47:1323-1325.
  4. Windfuhr JP. Laryngeal hamartoma. Acta Otolaryngol. 2004;124:301-308. https://doi.org/10.1080/00016480310014831
  5. Santana-Hernandez DJ, Ell SR, Da Costa P, Macklin CP, Hussain SS. Giant hamartoma of the oropharynx. J Laryngol Otol. 1996;110:480-482. https://doi.org/10.1017/s0022215100134048
  6. Lee HK, Cho KJ, Jung SH, Kim NS. A case of fibro-osseous hamartoma originated from nasal cavity. Korean J Otorhinolaryngol-Head Neck Surg. 2008;51:495-498.
  7. Kim KM, Kwon SH, Park HS, Kang MJ. A case of mixed epithelial and mesenchymal hamartoma of nasopharynx. Korean J Otorhinolaryngol-Head Neck Surg. 2012;55:191-193. https://doi.org/10.3342/kjorl-hns.2012.55.3.191
  8. Park JB. A rare case of hamartoma of the tongue. Korean J Otorhinolaryngol-Head Neck Surg. 1975;18:57-59.
  9. Na HG, Bae CH, Kim YD, Song SY. A case of hamartoma originated from the palatine tonsil. Korean J Otorhinolaryngol-Head Neck Surg. 2011;54:731-733. https://doi.org/10.3342/kjorl-hns.2011.54.10.731
  10. Lee MJ, Kim JY, Shim H-K, Kim MR. A case of hamartoma of the subglottis. Korean J Otorhinolaryngol-Head Neck Surg. 2018;61:370-373. https://doi.org/10.3342/kjorl-hns.2016.17454
  11. Davidson TM. Tumors of the head and neck: Clinical and pathological considerations, 2nd Edition By John G. Batsakis, 573 pp, illus, Williams & Wilkins Co., Baltimore, MD, 1979. $49.50. Head & Neck Surgery. 1980;3:77-77.
  12. Kim BH, Kwon SK. A case of hamartoma arising in the larynx. J Korean Soc Laryngol Phoniatr Logop. 2012;23:133-136.
  13. Basile A, Gregoris A, Antoci B, Romanelli M. Malignant change in a benign pulmonary hamartoma. Thorax. 1989;44:232-233. https://doi.org/10.1136/thx.44.3.232
  14. Shara KA, al-Muhana AA, al-Shennawy M. Hamartomatous tonsillar polyp. J Laryngol Otol. 1991;105:1089-1090. https://doi.org/10.1017/S0022215100118286
  15. Wushou A, Liu W, Bai XF, Xiong XP, Li G, Zhi KQ, et al. Clinical analysis of 194 cases of head and neck hamartoma. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013;115:299-303. https://doi.org/10.1016/j.oooo.2012.03.034