Use of an open partial laryngectomy technique for a massive laryngeal leiomyosarcoma in a 40-year-old man with functional preservation postoperatively

Author:

Allen David Z1,Cao Emily M2ORCID,Cruz Gabriela2,Kain Joshua J3

Affiliation:

1. Department of Otorhinolaryngology–Head and Neck Surgery, McGovern Medical School , Houston, TX , USA

2. McGovern Medical School, University of Texas Health Science Center at Houston , Houston, TX , USA

3. Department of Otolaryngology—Head & Neck Surgery, Houston Methodist Hospital , Houston, TX , USA

Abstract

Abstract Laryngeal cancers are one of the most common head and neck malignancies and can lead to significant morbidity and mortality. Although they most commonly originate from squamous cell carcinoma, there are multiple different pathologies that can arise. We present a patient with an atypical presentation of a glottic mass for which final pathology revealed a leiomyosarcoma (LMS). We report the first case in the English literature of a large bulky LMS that was removed entirely through a partial vertical laryngectomy and pharyngectomy, with maintained swallow and speech function postoperatively.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference12 articles.

1. A case of laryngeal leiomyosarcoma and review of the literature;Selcuk;Ann Maxillofac Surg,2015

2. Leiomyosarcoma of the larynx: diagnosis aided by advances in immunohistochemical staining;Wadhwa;Ear Nose Throat J,2000

3. Leiomyosarcoma of the larynx: a case report;Abbas;Ear Nose Throat J,2005

4. Laryngeal leiomyosarcoma;Marioni;J Laryngol Otol,2000

5. Conservative surgery of cancer of the larynx;Alonso;Trans Am Acad Ophthalmol Otolaryngol,1947

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