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Supraglottic hemangioma during pregnancy.

M S Brandwein, A L Abramson, M J Shikowitz

    Obstetrics and Gynecology
    |March 1, 1987
    PubMed
    Summary

    A rare supraglottic hemangioma caused airway obstruction in pregnancy, leading to shortness of breath. The tumor regressed after delivery, suggesting hormonal influences during gestation.

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    Area of Science:

    • Obstetrics and Gynecology
    • Otolaryngology
    • Vascular Lesions

    Background:

    • Pregnancy can precipitate or exacerbate certain medical conditions due to hormonal and physiological changes.
    • Airway compromise during pregnancy poses significant risks to both mother and fetus.

    Observation:

    • A 37-year-old woman presented with worsening throat discomfort, voice changes, and shortness of breath during her second trimester.
    • These symptoms recurred in subsequent pregnancies and resolved postpartum.
    • A significant supraglottic hemangioma (vascular tumor) was diagnosed, obstructing 40% of the upper airway.

    Findings:

    • The supraglottic hemangioma exhibited significant growth during pregnancy.
    • The lesion demonstrated marked involution starting at 36 weeks' gestation and resolving postpartum.
    • This case highlights a rare etiology of dyspnea in pregnancy.

    Implications:

    • Supraglottic hemangiomas should be considered in the differential diagnosis of pregnant patients with upper airway obstruction symptoms.
    • The observed hormonal-dependent growth and regression pattern suggests a role for estrogen and progesterone in hemangioma behavior during pregnancy.
    • Further research into hormonal therapies or management strategies for pregnancy-related hemangiomas may be warranted.

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