Giant Soft Tissue Hemangioma of the Neck with Laryngeal Extension

Introduction: Soft tissue hemangiomas are among the most prevalent soft tissue tumors and can pose diagnostic challenges due to their propensity to extend into various regions. In our case, imaging studies facilitated effective characterization of the mass, and timely intervention with sclerotherapy enabled adequate initial control of the lesion. Subsequently, medical management with propranolol and a second scheduled surgical intervention with sclerotherapy contributed to a reduction in the lesion size, alleviation of symptoms, and improvement in prognosis.

Case report: We present a rare case of a giant cervical soft tissue hemangioma with laryngeal extension in an adult female, initially misdiagnosed as a primary laryngeal hemangioma. This case underscores the critical role of diagnostic imaging in assessing the extent of these vascular tumors.

Conclusions: A thorough assessment of the suspected site, as well as the entire head, neck, and chest, should be conducted for all patients with suspected hemangiomas.