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Pediatric localized amyloidosis in mesopharynx
Masahiro Takahashi1, Hideki Matsuda, Keiko Ito
1Department of Otolaryngology, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama, Japan. masahir@qd5.so-net.ne.jp
International Journal of Pediatric Otorhinolaryngology
|October 24, 2002
Summary
This study reports a rare case of primary localized amyloidosis in a 12-year-old girl, the third pediatric case documented. The pharyngeal mass showed no change over 24 months without treatment.
Area of Science:
- Otorhinolaryngology
- Pathology
- Immunohistochemistry
Background:
- Primary localized amyloidosis is a rare condition.
- Amyloidosis of the mesopharynx is exceptionally rare, particularly in pediatric patients.
Observation:
- A 12-year-old girl presented with a pharyngeal mass detected during a school health examination.
- Physical examination identified a mass within the faucial tonsil.
- Histological examination revealed amyloid deposition and chronic inflammatory cell infiltration.
Findings:
- Immunohistochemical analysis confirmed the amyloid deposit was positive for amyloid P component (AP) and negative for amyloid L (AL).
- The mesopharyngeal mass remained unchanged over a 24-month observation period without any intervention.
- The patient was asymptomatic, and no treatment was administered.
Implications:
- This case contributes to the limited literature on pediatric mesopharyngeal amyloidosis.
- The findings highlight the potential for asymptomatic presentation and stability of amyloid P component-positive amyloidosis in the mesopharynx.
- Further research may elucidate the specific mechanisms and long-term behavior of this rare condition in children.
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