Astrid Wolf-Magele1, Johannes Schnabl2, Christoph Url3, Roland Sedivy4, Georg Mathias Sprinzl5. 1. Department of Otolaryngology, University Hospital St.Pölten, Probst Führer-Straße 4, 3100, St.Pölten, Austria. astrid.wolf-magele@stpoelten.lknoe.at. 2. Department of Otolaryngology, University Hospital St.Pölten, Probst Führer-Straße 4, 3100, St.Pölten, Austria. 3. Department of Otolaryngology, University Hospital Innsbruck, Innsbruck, Austria. 4. Institute of Clinical Pathology, University Hospital St.Pölten, St.Pölten, Austria. 5. Department of Otolaryngology, University Hospital St.Pölten, Probst Führer-Straße 4, 3100, St.Pölten, Austria. georg.sprinzl@stpoelten.lknoe.at.
Abstract
BACKGROUND: The spindle cell lipoma (SCL) is a special type of lipoma and this is very rare in the head and neck regions. There are only five reported cases exist, which describes the occurrence of a SCL in the hypopharynx. METHODS: Our case report presents a case of a very large SCL in the larynx. We want to describe that how we treated the patients and compared the situation with other reported cases. RESULTS: Intraoperatively, we found a tumor mass of 7 × 5 cm. It was successfully removed with the carbon dioxide laser. No postoperative complications occurred. CONCLUSIONS: Although SCL is a very rare diagnosis in the larynx/hypopharynx, it should be included in the differential diagnosis of larynx/hypopharynx tumors. Our case is the first report of such a large SCL in the larynx. The clinical symptoms occurred relatively late and ended up in an acute situation of stridor and dyspnea.
BACKGROUND: The spindle cell lipoma (SCL) is a special type of lipoma and this is very rare in the head and neck regions. There are only five reported cases exist, which describes the occurrence of a SCL in the hypopharynx. METHODS: Our case report presents a case of a very large SCL in the larynx. We want to describe that how we treated the patients and compared the situation with other reported cases. RESULTS: Intraoperatively, we found a tumor mass of 7 × 5 cm. It was successfully removed with the carbon dioxide laser. No postoperative complications occurred. CONCLUSIONS: Although SCL is a very rare diagnosis in the larynx/hypopharynx, it should be included in the differential diagnosis of larynx/hypopharynx tumors. Our case is the first report of such a large SCL in the larynx. The clinical symptoms occurred relatively late and ended up in an acute situation of stridor and dyspnea.
Entities:
Keywords:
Acute dyspnea; CO2 laser; Larynx; Spindle cell lipoma