Joyson Kodiyan1, Jason R Rudman2, David E Rosow2, Giovana R Thomas2. 1. Department of Otolaryngology-Head & Neck Surgery, University of Miami-Miller School of Medicine, 1475 NW 12th Avenue, Miami, FL, USA. Electronic address: jkodiyan@med.miami.edu. 2. Department of Otolaryngology-Head & Neck Surgery, University of Miami-Miller School of Medicine, 1475 NW 12th Avenue, Miami, FL, USA.
Abstract
OBJECTIVE: Two cases of laryngeal lipomatous tumors are presented. Their diagnoses and management are discussed and contrasted. METHODS: Case report and literature review. RESULTS: Patient 1 is a 58 year old male presenting with five years of progressive shortness of breath, dysphagia, and globus sensation. Clinical exam and imaging study showed a 3.5 cm hypodense laryngeal mass, and he underwent transoral robotic-assisted surgery for complete excision. Final pathology revealed a well-differentiated liposarcoma. Patient 2 is a 79 year old female presenting with one year of non-progressive hoarseness and globus sensation. Clinical examination and imaging study revealed a 1.8 cm hypodense laryngeal mass. Transoral endoscopic complete excision of the submucosal mass was performed. Final pathology revealed benign spindle-cell lipoma. CONCLUSION: Liposarcoma and lipoma may present with similar symptomatology, clinical, and imaging findings. Pathology evaluation is of utmost importance for definitive diagnosis. Therefore, diagnosis and treatment of laryngeal lipomatous lesions are best accomplished with complete excision of the mass.
OBJECTIVE: Two cases of laryngeal lipomatous tumors are presented. Their diagnoses and management are discussed and contrasted. METHODS: Case report and literature review. RESULTS:Patient 1 is a 58 year old male presenting with five years of progressive shortness of breath, dysphagia, and globus sensation. Clinical exam and imaging study showed a 3.5 cm hypodense laryngeal mass, and he underwent transoral robotic-assisted surgery for complete excision. Final pathology revealed a well-differentiated liposarcoma. Patient 2 is a 79 year old female presenting with one year of non-progressive hoarseness and globus sensation. Clinical examination and imaging study revealed a 1.8 cm hypodense laryngeal mass. Transoral endoscopic complete excision of the submucosal mass was performed. Final pathology revealed benign spindle-cell lipoma. CONCLUSION:Liposarcoma and lipoma may present with similar symptomatology, clinical, and imaging findings. Pathology evaluation is of utmost importance for definitive diagnosis. Therefore, diagnosis and treatment of laryngeal lipomatous lesions are best accomplished with complete excision of the mass.
Authors: Karen Fritchie; Toshi Ghosh; Rondell P Graham; Anja C Roden; David Schembri-Wismayer; Andrew Folpe; Michael Rivera Journal: Head Neck Pathol Date: 2020-05-14
Authors: Andrea Iandelli; Francesco Missale; Cesare Piazza; Giorgio Peretti; Andrea Laborai; Marta Filauro; Filippo Marchi; Francesca Del Bon; Pietro Perotti; Giampiero Parrinello Journal: Eur Arch Otorhinolaryngol Date: 2021-09-24 Impact factor: 2.503