纤维样瘤是一种局部侵袭性的梭形细胞病变。常见于躯干罕见于头颈。该作者报道了用放射治疗的一个独特的下咽纤维样瘤病例。男性，３２岁，１月内体重下降１０磅伴吞咽、呼吸困难。体检可见咽后壁粘膜下饱满，累及气管和食管入口，ＣＴ及ＭＲＩ示咽后壁肿块，其前后径达５ｃｍ Fibroids are a type of locally invasive spindle cell disease. Common in the trunk is rare in the head and neck. The authors reported a unique case of hypopharyngeal heliotrope treated with radiation. Male, 32 years old, lost 10 pounds in January with swallowing and breathing difficulties. Physical examination showed submucosal posterior pharyngeal full, involving the trachea and esophageal entrance, CT and MRI showed pharyngeal wall mass, its anteroposterior diameter of 5cm