Sporadic Minute Pharyngeal Xanthomas Detected Incidentally During Esophagogastroduodenoscopy: A Case Series

Kenta Hamada, Yoji Takeuchi, Chiaki Kubo, Yasuhiko Tomita, Masayasu Omori, Noriya Uedo, Ryu Ishihara, Yasushi Yamasaki, Sachiko Yamamoto, Tomofumi Akasaka, Noboru Hanaoka, Koji Higashino, Hiroyuki Okada, Hiroyasu Iishi

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Pharyngeal xanthomas are considered rare, and no reports have described their endoscopic appearance under magnifying or image-enhanced endoscopy. We report three cases of asymptomatic sporadic pharyngeal xanthoma that were detected incidentally during routine esophagogastroduodenoscopy. All the patients were men and had a solitary lesion of about 1 mm in size. Two of the lesions were located in the oropharynx, while one was in the hypopharynx. Non-magnifying endoscopy showed yellowish lesions, and magnifying endoscopy showed an aggregation of minute yellowish nodules with tortuous microvessels on their surface. Histopathological examination revealed foam cells filling the intraepithelial papillae. The foam cells were strongly immunopositive for cluster of differentiation (CD) 68. Immunohistochemical staining for CD34 showed intrapapillary capillaries around the foam cells. This characteristic magnifying endoscopic appearance corresponded to the histopathological findings of pharyngeal xanthomas. The present cases reveal the relationship between the endoscopic appearance and histopathological findings of pharyngeal xanthomas.

Original languageEnglish
Pages (from-to)277-280
Number of pages4
JournalHead and Neck Pathology
Volume13
Issue number2
DOIs
Publication statusPublished - Jun 1 2019

Keywords

  • Pharyngeal xanthelasma
  • Pharyngeal xanthoma
  • Pharynx
  • Xanthelasma
  • Xanthoma

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Otorhinolaryngology
  • Oncology

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  • Cite this

    Hamada, K., Takeuchi, Y., Kubo, C., Tomita, Y., Omori, M., Uedo, N., Ishihara, R., Yamasaki, Y., Yamamoto, S., Akasaka, T., Hanaoka, N., Higashino, K., Okada, H., & Iishi, H. (2019). Sporadic Minute Pharyngeal Xanthomas Detected Incidentally During Esophagogastroduodenoscopy: A Case Series. Head and Neck Pathology, 13(2), 277-280. https://doi.org/10.1007/s12105-018-0911-9