TITLE:
Laryngeal angioleiomyoma: A case report of 52-year-old female
AUTHORS:
Ahmad Rezaee, Leili Ebrahimi, Alireza Sadeghipour, Behzad Sarvar Azimzadeh, Amir Reza Azizian
KEYWORDS:
Laryngeal Angioleiomyoma; Contrast-Enhanced Computed Tomography
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.2 No.1,
March
12,
2013
ABSTRACT: Introduction: Laryngeal angioleiomyoma is a rare benign tumor of larynx with vascular
origin. We report a case of laryngeal angioleiomyoma in a 52-year-old female.
Case presentation: A 52- year-old Caucasian female was referred to our
institute with a chief compliant of severe midnight snoring. Her symptoms were
progressive and began from two years ago. There was no history of hoarseness
and laryngeal pain. The patient underwent a laryngoscopic examination and a
large mass was seen on the left aryepiglotic fold. Surface of lesion was
smooth and covered by laryngeal mucosa with no ulcer. There was a rapid
enhancing mass on left aryepiglotic fold with bulging into the left
piriformis sinus in contrast-enhanced
computed tomography. The tumor was
complicated by profuse bleeding after biopsy which was not controlled by
conventional approaches. The patient was then administered a general anesthesia
and the tumor was completely removed via laryngosurgery accompanied by left
superior thyroid artery ligation. The specimen was histopathologically compatible with laryngeal angioleiomyoma. Conclusion: Angioleiomyoma of larynx is of benign nature and rarely recurs.
However, it can be complicated by profuse bleeding on biopsy and
contrast-medium imaging should be considered before
surgical intervention to diagnose the tumor properly and prevent
life-threatening complications.