title: A case of extensive pharyngeal vascular malformation successfully treated with Kampo medicine.
abstract: OBJECTIVE
  To present the efficacy of Japanese-traditional medicine (Kampo) for a case with vascular malformation.
  
  
  METHODS
  A case study and literature review.
  
  
  METHODS
  A 62-year-old female presented with dysphagia and spitting blood. Esophagogastroduodenoscopy showed a longitudinal lobulated and septated mass in the posterior pharynx. On MR imaging, the mass showed hyperintensity on T2-weighted images and heterogeneous enhancement on Gadlinium-enhanced T1-weighted images, suggestive of a low-flow vascular malformation.
  
  
  METHODS
  According to the Kampo diagnosis, kamisyouyousan and ninjinyoueito were prescribed to this patient. The effect of Kampo medicine was evaluated with improvement of her symptoms and volumetry of MRI findings.
  
  
  RESULTS
  The longitudinal pharyngeal mass was markedly decreased and her symptoms disappeared after 2 years of Kampo administration.
  
  
  CONCLUSIONS
  Kampo medicine can be a novel alternative therapy for VM.
authors.affiliation: Department of Japanese-Traditional (Kampo) Medicine, Kanazawa University Hospital, Takaramachi 13-1, Kanazawa, Ishikawa, 920-8641, Japan. Electronic address: ikkandoo@gmail.com.
authors.forename: Keiko
authors.initials: K
authors.lastname: Ogawa-Ochiai
authors.affiliation: Department of Diagnostic and Interventional Radiology, Osaka University Graduate School of Medicine, Japan.
authors.forename: Keigo
authors.initials: K
authors.lastname: Osuga
authors.affiliation: Department of Medical Technology, Osaka University Hospital, Japan.
authors.forename: Kuniaki
authors.initials: K
authors.lastname: Hidaka
authors.affiliation: Department of Pediatric Surgery, Osaka University Graduate School of Medicine, Japan.
authors.forename: Kengo
authors.initials: K
authors.lastname: Nakahata
authors.affiliation: Department of Pediatric Surgery, Osaka University Graduate School of Medicine, Japan.
authors.forename: Yuko
authors.initials: Y
authors.lastname: Tazuke
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, Osaka General Medical Center, Japan.
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Yamamoto
authors.affiliation: Department of Pediatric Surgery, Osaka University Graduate School of Medicine, Japan.
authors.forename: Shuichiro
authors.initials: S
authors.lastname: Uehara
authors.affiliation: Department of Pediatric Surgery, Osaka University Graduate School of Medicine, Japan.
authors.forename: Hiroomi
authors.initials: H
authors.lastname: Okuyama
mesh_terms: D004365:Drugs, Chinese Herbal / Q000627:therapeutic use*; D005260:Female; D006469:Hemoptysis / Q000209:etiology; D006801:Humans; D018810:Magnetic Resonance Angiography; D020835:Medicine, Kampo; D008875:Middle Aged; D010614:Pharynx / Q000098:blood supply* / Q000000981:diagnostic imaging; D008517:Phytotherapy; D054079:Vascular Malformations / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy*
chemical_list: D004365:Drugs, Chinese Herbal
keywords: Kampo medicine; Vascular malformation; kamishoyosan; ninjinyoeito