Laryngeal Sarcoma: A Case Report

Abstract

Laryngeal sarcoma is a rare malignant tumour and the diagnosis requires comprehensive histopathological and immunohistochemical examinations. Due to its rarity, there is paucity of information on its behaviour and management. We report a case of an elderly male presented with one month history of hoarseness. Laryngoscopic examination showed a large exophytic mass at anterior commissure causing partial airway obstruction. Tracheostomy, direct laryngoscopy and excision of tumour with adequate margin were performed. The histopathological examination revealed myofibroblastic sarcoma. Computed tomography of the neck showed no regional or distant metastasis. Post-operatively, he was decannulated and there was no clinical evidence of recurrence. Management of LS is highly individualised. Complete tumour excision with clear margins is the primary treatment. Neck dissection is not required if there is no nodal metastasis. Radiotherapy is advocated in selected cases to achieve loco-regional control.