She has a T2 weighted MRI which shows a mass on the vocal cord
Our patient had a hemangioma. This is an abnormal proliferation of blood vessels and can occur anywhere in the body.
Hemangiomas occur in 5 to 10% of children and usually disappear by age 3-5. Hemangiomas that appear at birth are thought to be caused by placental trophoblastic proteins and indeed are more common in infants born after chorionic villus sampling.
Another group of hemangiomas appears in adults usually between the ages of 30 and 50. They occur in 10% of the world’s population. Symptomatic hematomas, like in our pt, occur in less than 1% of these individuals. Cherry hemangiomas are common in the skin of adults.
The brain, liver and spine can also be sites of hemangiomas.
RANDOM HEMANGIOMA FACTS-Hemangiomas tend to be prevalent in a specific condition called Von Hippel Lindau. Estrogen is a trigger for hemangioma growth and pregnant women may have increase in the size of their hemangiomas.
Because our patient was having bleeding from her vocal cord, she underwent successful embolization.
Drolet B, Esterly N, Frieden I. New England Journal of Medicine—Hemangiomas in Children 1999.
Bree A, Siegfried E, Sotel-Avila, C et al. Infantile Hemangiomas Speculation on Placetal Trophoblastic Origin. Arch Dermatol. 2001; 137(5): 573-577.
Alfawareh M, Alotaibi T, Labeeb A, et al. A symptomatic case of thoracic vertebral hemangioma causing lower limb spastic paresis. 2016 Am J Cas Rep ;17:805-809.