Acquired laryngeal hemangioma: A rare presentation in an adult

Abstract

Laryngeal hemangiomas are rare vascular tumors that mostly present in children. The objective of this publication is to shed the light over this rare diagnosis. We report a case of adult onset of laryngeal hemangioma arising from the junction of the vocal fold and vocal process. The patient presented with a history of hoarseness of voice. An in-office laryngoscopy was performed that revealed a pink lobulated mass arising from the left hemilarynx. Intraoperatively, suspension microlaryngoscopy was performed; the lesion was identified and successfully resected using cold dissection technique. Histopathological analysis was consistent with laryngeal hemangioma. The patient is now a year post resection and remains asymptomatic without signs of recurrence. To conclude, adult onset of laryngeal hemangioma is very rare. When present, resection with either or both cold steel (microscissors) and laser have shown good outcome. Patients should be monitored afterwards for possible recurrence.

Epiglottic capillary hemangioma in an adult female: A rare case report

“…The histopathological manifestations of the excised mass include single endothelial cell lining of the irregular, large and vascular channels filled with blood. These channels lie in between the fibrous septa of variable thickness [ 1 ].…”

“…Hemangiomas are vascular benign tumors with no known cause. Laryngeal hemangioma is classified into two types: pediatric and adult [ 1 ]. Adult hemangiomas are extremely uncommon, more often in men and are of the cavernous histological type.…”

“…The primary sign is hoarseness, with occasional hemoptysis and in severe instances, dysphagia and breathing problems [ 4 ]. In adults, hemangiomas do not regress spontaneously unlike in children [ 1 ]. Although the typical bluish appearance of adult laryngeal hemangiomas implies the diagnosis, histopathology is necessary for confirmation.…”

A Rare Case of Adult Vocal Cord Hemangioma: A Case Report and Literature Review

“…However, vascular lesions in the larynx in adults are very rare, with most cases occurring in the supraglottic area. Hemangiomas of the vocal cord are extremely rare, and only a few case series and case reports have been published [10][11][12][13][14]. Of the 12 patients for whom detailed information was available in these articles, the average age was 49.5 years, with nine males and three females.…”