Vallecula angioleiomyoma: unusual cause of acute adult airway obstruction

Evans, Kate; Lowe, David; Keene, Malcolm

doi:10.1017/s0022215100112654

Cited by 8 publications

(2 citation statements)

References 13 publications

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“…Although they are rarely seen in head and neck, they can develop in nasopharynx, nasal cavity, eustachian tube, tongue, oropharynx, hypo pharynx, larynx, cervical esophagus and trachea. 6,7 ing and sometimes nearly asymptomatic course of disease. 9 Our patient did not notice any laryngeal symptoms for many years of onset, despite her slight but noticeable hoarseness to the examiner.…”

Section: Discussionmentioning

confidence: 99%

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Worm in the Throat: Hamartoma Larynx

Reddy¹,

Kadapa²

2014

International Journal of Phonosurgery &Amp; Laryngology

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Hamartomas of larynx are rare benign lesions which can be a rare cause for respiratory obstruction. This report highlights the case of a young female who presented with foreign body sensation and worm-like mass in throat of 10 years duration. On videolaryngoscopy, a pinkish polypoidal worm like mass was seen arising from the right side of epiglottis on the laryngeal surface. Endoscopic guided excision with cautery was done and the mass revealed hamartoma on histopathology.

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Section: Discussionmentioning

confidence: 99%

“…Some adults experience hoarse ness, dyspnea, and even an acute airway obstruction that may require tracheotomy. 7,13 Other adults experience a longstand …”

Section: Discussionmentioning

confidence: 99%

Worm in the Throat: Hamartoma Larynx

Reddy¹,

Kadapa²

2014

International Journal of Phonosurgery &Amp; Laryngology

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Larynx

Burkhardt¹,

Meyer-Breiting²

1999

Spezielle Pathologische Anatomie

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Epithelioid leiomyoma of the larynx

et al. 1994

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We describe the pathological features of a case of laryngeal epithelioid leiomyoma (leiomyoblastoma) which, to our knowledge, is the second case to be reported in the world literature. A review of the literature confirmed that leiomyoma as such is a very rare neoplasm in the larynx, and only 33 cases have been previously reported. The neoplasm was located in the left vocal cord and consisted of mainly epithelioid, round or spindle-shaped cells, often with clear cytoplasm, which were arranged predominantly in solid nests and sheets. The tumour cells showed positive immunoreactivity for smooth muscle actin and desmin. The tumour showed low mitotic activity and immunostaining with MIB 1 (Ki-67) accordingly revealed the occasional cell only to be positive, confirming a low proliferative activity in agreement with a benign neoplasm. Epithelioid leiomyomas located in other sites have been shown to act occasionally in a malignant fashion, and the necessity for careful long-term follow-up of the patient is therefore emphasized.

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Vallecula angioleiomyoma: unusual cause of acute adult airway obstruction

Abstract: A 44-year-old man presented with acute airway obstruction. A pedunculated lesion was found arising from the right vallecula. This was confirmed to be an angioleiomyoma, a type of hamartoma rarely found in the oropharynx.

Cited by 8 publications

References 13 publications

Worm in the Throat: Hamartoma Larynx

Worm in the Throat: Hamartoma Larynx

Larynx

Epithelioid leiomyoma of the larynx

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