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Case Reports
. 2022 Jan;34(120):67-70.
doi: 10.22038/IJORL.2021.54133.2847.

Laryngeal Myxoma: A rare localization

Affiliations
Case Reports

Laryngeal Myxoma: A rare localization

Malek Mnejja et al. Iran J Otorhinolaryngol. 2022 Jan.

Abstract

Introduction: Myxomas are benign mesenchymal neoplasms which arise mainly in the heart. The laryngeal localization is very rare. We aim to describe the clinical, histological and therapeutic features of this condition.

Case report: We report two cases of laryngeal myxomas occurred in male and female patients, presenting with a history of prolonged hoarseness. Laryngoscopy revealed a polypoid mass on the true vocal folds. The lesions were excised with cold instruments. One patient presented a recurrence 4 years after the first surgery.

Conclusions: Laryngeal myxoma should be considered in case of a benign looking vocal fold lesion, especially a vocal cord polyp. Histologic exam is the only tool to confirm the diagnosis. It is treated by surgical resection. In the literature, recurrence is rare in laryngeal site, but patients need to be kept on close follow-up.

Keywords: Larynx; Myxoma; Polyp; Vocal cord.

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Figures

Fig 1
Fig 1
Direct laryngoscopy shows polypoidal lesion on the right vocal cord (black arrow)
Fig 2
Fig 2
Excision of the lesion with cold instruments
Fig 3
Fig 3
A subepithelial paucicellular lesion, which formed by spindle to stellate cells within an abundant and hypovascular myxoid stroma (Hematoxylin and Eosin x 50)

References

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