Abstract
Introduction: Laryngeal angioleiomyoma is a rare benign tumor of larynx with vascular origin. We report a case of laryngeal angioleiomyoma in a 52-year-old female. Case presentation: A 52- year-old Caucasian female was referred to our institute with a chief compliant of severe midnight snoring. Her symptoms were progressive and began from two years ago. There was no history of hoarseness and laryngeal pain. The patient underwent a laryngoscopic examination and a large mass was seen on the left aryepiglotic fold. Surface of lesion was smooth and covered by laryngeal mucosa with no ulcer. There was a rapid enhancing mass on left aryepiglotic fold with bulging into the left piriformis sinus in contrast-enhanced computed tomography. The tumor was complicated by profuse bleeding after biopsy which was not controlled by conventional approaches. The patient was then administered a general anesthesia and the tumor was completely removed via laryngosurgery accompanied by left superior thyroid artery ligation. The specimen was histopathologically compatible with laryngeal angioleiomyoma. Conclusion: Angioleiomyoma of larynx is of benign nature and rarely recurs. However, it can be complicated by profuse bleeding on biopsy and contrast-medium imaging should be considered before surgical intervention to diagnose the tumor properly and prevent life-threatening complications.
Highlights
INTRODUCTIONAngioleiomyoma (vascular leiomyoma) is a benign tumor of vascular smooth muscle and occurs frequently in the lower limbs
Laryngeal angioleiomyoma is a rare benign tumor of larynx with vascular origin
We report a very rare case of angioleiomyoma in 52-year-old Caucasian female with progressive symptom of midnight snoring
Summary
Angioleiomyoma (vascular leiomyoma) is a benign tumor of vascular smooth muscle and occurs frequently in the lower limbs. It is rarely seen in larynx and its recurrence after excision is uncommon. This tumor is presented by hoarseness or pain and the therapy of choice is complete surgical excision. We report a very rare case of angioleiomyoma in 52-year-old Caucasian female with progressive symptom of midnight snoring
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