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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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