Laryngeal angioleiomyoma: A case report of 52-year-old female

Ahmad Rezaee, Leili Ebrahimi, Alireza Sadeghipour, Behzad Sarvar Azimzadeh, Amir Reza Azizian

Department of Cardiology, Kerman University of Medical Sciences, Kerman, Iran.
Faculty of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.
Rasoul Akram Medical Complex, Tehran University of Medical Sciences, Tehran, Iran.
Shaheed Rajaei Cardiovascular, Medical and Research Center, Tehran University of Medical Sciences, Tehran, Iran.

DOI: 10.4236/crcm.2013.21006                

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.

Keywords

Laryngeal Angioleiomyoma; Contrast-Enhanced Computed Tomography

Conflicts of Interest

The authors declare no conflicts of interest.

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