Pyriform sinus hemangioma with calcifications.

A 60-year-old woman presented with a 5-year history of a mass in the left medial pyriform sinus. The mass was first noted during routine endoscopy by her gastroenterologist, who diagnosed it as benign and elected to follow it clinically. But the mass had grown significantly in the meantime, and the patient was eventually referred to our office. The patient admitted to mild dysphagia while eating solids, but she was otherwise asymptomatic. Rigid videostroboscopy showed that the mass was bluish and lobulated and that it involved the left medial pyriform sinus, the left aryepiglottic fold, and the postcricoid area (figure). No feeding vessel or vascular blush was seen on angiography. Computed tomography revealed that the mass contained several calcifications, but there was no pathologic lymphadenopathy, invasion of cartilage, or extension into adjacent tissue planes.

[FIGURE OMITTED]

The patient was taken to the operating room, where she underwent biopsy and laser ablation. Findings were consistent with a benign hemangioma.

From the Department of Otolaryngology, The University of Texas Health Science Center at Houston (Dr. Beaver), and the Texas Voice Center, Houston (Dr. Stansley and Dr. Rodriguez).