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Intravascular papillary endothelial hyperplasia (Masson lesion) of the hypopharynx and larynx

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December 1, 2008
by M. Güven Güvenç, MD, Levent Dereköylü, MD, Nazim Korkut, MD, Ferhan Öz, MD, and Büge Öz, MD


Masson lesion is characterized by a benign intravascular papillary hyperplasia and subsequent thrombosis. Clinically, this lesion can be misdiagnosed as mucocele, hemangioma, Kaposi sarcoma, angiosarcoma, pyogenic granuloma, and several other lesions. In this article, we report a case of intravascular papillary endothelial hyperplasia of the hypopharynx and larynx, which caused dysphagia in an 18-year-old female patient. The lesion was excised entirely via a lateral pharyngotomy approach. We discuss the clinical and histopathologic features, differential diagnosis, and treatment of this uncommon entity.

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