경동맥소체종양으로 오인된 IgG4 연관 질환

• 영문명: IgG4 Related Disease Misdiagnosed to Carotid Body Tumor
• 발행기관: 대한두경부종양학회
• 저자명: 이건혁(Gun Hyuk Lee) 송지선(Ji-Sun Song) 윤소연(So Yeon Yoon) 조윤진(Youn Jin Cho) 홍현준(Hyun Jun Hong)
• 간행물 정보: 『대한두경부종양학회지』제36권 제2호, 27~31쪽, 전체 5쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 2020.11.30

영문 초록

Neck mass has various etiologies, including inflammatory, congenital, neoplastic causes. The IgG4-related disease can cause symptoms in the head and neck areas with an inflammatory neck mass. It also shows clinical and pathological findings from inflammation caused by immune reactions, such as lymphocyte and plasma cell infiltration, storiform fibrosis, obliteration phlebitis, and invigorated serum IgG4 levels. The treatment guideline has not been established and still under debate, but systemic glucocorticoid seems to be effective in the most cases. In this brief report, a 48-year-old male patient presented with voice change for 3 weeks. Left side paramedian vocal fold palsy was observed in the flexible laryngoscopy. About 2.5X2.0X1.2cm size, heterogeneously enhanced neck mass with irregular margin encasing left carotid artery was noted on preoperative contrast enhanced neck CT scan, and it was suspicious of left carotid body tumor. The pathology shows IgG4-related disease rather than carotid body tumors. We report this case of IgG4-related disease, which can be misdiagnosed to carotid body tumors.

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키워드

Carotid body tumor IgG4-related disease Neck mass Vocal fold palsy