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A case of vascular leiomyoma of the larynx

Published online by Cambridge University Press:  29 June 2007

K. Hirakawa*
Affiliation:
Department of Otorhinolaryngology, Hiroshima University School of Medicine, Hiroshima, Japan.
Y. Harada
Affiliation:
Department of Otorhinolaryngology, Hiroshima University School of Medicine, Hiroshima, Japan.
T. Tatsukawa
Affiliation:
Department of Otorhinolaryngology, Hiroshima University School of Medicine, Hiroshima, Japan.
A. Nagasawa
Affiliation:
Department of Otorhinolaryngology, Hiroshima University School of Medicine, Hiroshima, Japan.
M. Fujii
Affiliation:
Department of Otorhinolaryngology, Hiroshima University School of Medicine, Hiroshima, Japan.
*
Katsuhiro Hirakawa, M.D.,Department of Otolaryngology, Hiroshima University, School of Medicine, 1-2-3 Kasumi, Minakmi-ku, Hiroshima, Japan 734. Fax: 81-(0)-82-257-5254

Abstract

We present a 68-year-old woman with a vascular leiomyoma of the larynx, a benign tumour that rarely involves that organ. Chief complaints were a feeling of a narrowing of the pharynx and difficulty in breathing in the supine position. A spherical tumour measuring 1.5 cm and covered with normal mucosa was found avthe margin of her epiglottis. The patient was administered a general anaesthetic and the tumour was successfully removed via direct laryngoscopy. Histological examination revealed that the tumour lay beneath a layer of stratified squamous epithelium and was encased in a welldefined fibrous capsule. The tumour parenchyma was composed of proliferated fibres that consisted of elongated cells, surrounded by an abundance of blood vessels. Its complete removal is the treatment of choice with care taken to avoid profuse bleeding. Recurrence is rare.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1994

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References

Duhig, J. T., Ayer, J. P. (1959) Vascular leiomyoma: a study of 61 cases. Archives of Pathology 68: 424430.Google Scholar
Ebert, W., Scholz, H. J. (1979) Leiomyomas of the larynx. Zen-Iralblatt allgemine Pathologie und Pathologische Anatomie 123: 580583.Google ScholarPubMed
Farman, A. G. (1975) Benign smooth muscle tumours. South African Medical Journal 49: 13301340.Google ScholarPubMed
Hashimoto, M., Morikawa, K., Ohyama, M. (1979) A case of laryngeal angiomyoma and review of the literatures in Japan. Otologia Fukuoka 25: 771778 (in Japanese).Google Scholar
Karma, P., Hyrynkangas, K., Räsänen, O. (1978) Clinical records: laryngeal leiomyoma. Journal of Laryngology and Otology 92: 411415.CrossRefGoogle Scholar
Kaya, S., Saydam, L., Ruacan, S. (1990) Laryngeal leiomyoma. International Journal of Pediatric Otolaryngology 19: 285 288.CrossRefGoogle ScholarPubMed
Shibata, K., Komune, S. (1980) Laryngeal angiomyoma (vascular leiomyoma): clinicopathological findings. Laryngoscope 90: 18801886.CrossRefGoogle ScholarPubMed
Matsumoto, K., Yamamoto, E., Ushijima, T., Funasaka, S. (1981) A case of laryngeal leiomyoma (vascular leiomyoma). Journal of Otolaryngology of Japan 84: 731734 (in Japanese).Google ScholarPubMed
Wolfowitz, B. L., Schmanan, A. (1973) Smooth muscle tumours of the upper respiratory tract. South African Medical Journal 47: 11891191.Google ScholarPubMed