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  • Title: Lymphatic Malformation of the Nasopharynx in a Young Pregnant Female: A Case Report.
    Author: Galili Y, Lytle M, Amandeep K, Bartolomei J, Ge L, Carlan SJ, Madruga M.
    Journal: Am J Case Rep; 2019 Jun 19; 20():868-871. PubMed ID: 31213581.
    Abstract:
    BACKGROUND Lymphangiomas represent the focal proliferation of benign, well-differentiated lymphatic tissue. They are most likely congenital, thus more commonly diagnosed at birth and before the age of 2 years. When they are found in adults, they favor the head, neck and axillary region. Rarely do they involve the nasopharynx region or occur in a pregnant patient. CASE REPORT A 21-year-old primagravida in the third trimester of pregnancy developed difficulty swallowing that progressed into difficulty breathing over a 1-month period. Imaging and examination suggested a benign mass in the nasopharynx and the patient underwent surgical removal of the stalk with bipolar cautery. The pathology report revealed a simple 4.5×1.5×0.8 cm lymphangioma. She had no fetal compromise during anesthesia. CONCLUSIONS Surgical removal of a nasopharyngeal lymphangioma during the third trimester of pregnancy is indicated if respiratory obstruction may be a complication.
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