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Non-epithelial tumors of the larynx: case series of 12 years

  • Laryngology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

Laryngeal neoplasms are almost always epithelial in origin and squamous cell carcinoma is the most common tumor of the larynx. Non-epithelial tumors make a small subset of laryngeal neoplasms. We present the experience of a single institution to define clinical presentations and outcomes.

Materials and methods

The pathology archives and clinical records of our center with the diagnosis of laryngeal tumors between the 2005 and 2018 were reviewed. Age, gender, symptoms, location of the tumor, histopathological diagnosis, treatment modality and disease status were discussed.

Results

657 patients were diagnosed with laryngeal tumor between 2005 and 2018 and 13 patients with non-epithelial tumors were identified. The majority of the patients were male. The age ranged between 13 and 93 years. The most common tumor localizations were vocal cords and subglottis. Seven patients were diagnosed with malignant tumors and six patients had benign tumors. Chondrosarcoma was the most common malignant mesenchymal tumor. Others were leiomyosarcoma, fibrosarcoma and liposarcoma. The most common benign non-epithelial tumors were schwannoma and hemangioma. Plexiform neurofibroma and granular cell tumor were the other benign tumors. Eleven patients underwent excisional biopsy. One patient underwent partial laryngectomy and one had total laryngectomy. Three cases presented with recurrent tumor. Among the recurrent cases, two were malignant tumors.

Conclusion

Non-epithelial tumors of the larynx are rare and have a wide histological diversity. Immunohistochemical studies are of great importance in the diagnosis of these tumors. Primary mesenchymal tumors of the larynx should be kept in mind in differential diagnosis.

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References

  1. Wenig BM (2008) Classification of laryngeal/hypopharyngeal non neoplastic lesions and laryngeal/hypopharyngeal neoplasms. In: Wenig BM (ed) Atlas of head and neck pathology, 2nd edn. Saunders Elsevier, Philadelphia, pp 410–534

    Chapter  Google Scholar 

  2. Karatayli-Ozgursoy S, Bishop JA, Hillel AT, Akst LM, Best SR (2016) Non-epithelial tumors of the larynx: a single institution review. Am J Otolaryngol 37(3):279–285. https://doi.org/10.1016/j.amjoto.2016.01.005

    Article  PubMed  CAS  Google Scholar 

  3. Cowan ML, Thompson LD, Leon ME, Bishop JA (2016) Low-grade fibromyxoid sarcoma of the head and neck: a clinicopathologic series and review of the literature. Head Neck Pathol 10(2):161–166. https://doi.org/10.1007/s12105-015-0647-8

    Article  PubMed  Google Scholar 

  4. Oliveira JF, Branquinho FA, Monteiro AR, Portugal ME, Guimaraes AM (2014) Laryngeal chondrosarcoma—10 years of experience. Braz J Otorhinolaryngol 80(4):354–358. https://doi.org/10.1016/j.bjorl.2014.05.004

    Article  PubMed  Google Scholar 

  5. Righi S, Boffano P, Pateras D, Chiodo D, Zanardi F, Patetta R (2015) Chondrosarcoma of the laryngeal thyroid cartilage. J Craniofac Surg 26(6):e478–e479. https://doi.org/10.1097/SCS.0000000000001955

    Article  PubMed  Google Scholar 

  6. Ciolofan MS, Ionita E, Ionita I, Mogoanta CA, Anghelina F, Enescu AS, Ciobirca DM, Osman A, Foarfa MC, Mateescu GO (2015) Chondrosarcoma of the hyoid bone: a case report. Rom J Morphol Embryol 56(2 Suppl):811–816

    PubMed  Google Scholar 

  7. Wang Q, Chen H, Zhou S (2015) Chondrosarcoma of the larynx: report of two cases and review of the literature. Int J Clin Exp Pathol 8(2):2068–2073

    PubMed  PubMed Central  Google Scholar 

  8. Khadivi E, Taziky MH, Jafarian AH, Nasseri Sadr M (2013) Laryngeal leiomyosarcoma, a case report and review of articles. Iran J Otorhinolaryngol 25(73):253–258

    PubMed  PubMed Central  Google Scholar 

  9. Selcuk OT, Renda L, Erol B, Osma U, Eyigor H, Ozturk H (2015) A case of laryngeal leiomyosarcoma and review of the literature. Ann Maxillofac Surg 5(2):274–276. https://doi.org/10.4103/2231-0746.175772

    Article  PubMed  PubMed Central  Google Scholar 

  10. Lazar A, Evans HL, Shipley J (2013) Smooth muscle tumors: leiomyosarcoma. In: Fletcher CDM, Bridge JA, Hogendoorn PCW, Mertens F (eds) Who classification of tumors of soft tissue and bone. IARC, Lyon, pp 111–113

    Google Scholar 

  11. Farkas AB, House LK, Khan M, Saad AG, Parker E, Joyner D (2018) Liposarcoma of the glottis: a report of an unusual diagnosis in an unusual location. Radiol Case Rep 30 13(3):631–634. https://doi.org/10.1016/j.radcr.2018.02.029

    Article  Google Scholar 

  12. Han Y, Yang LH, Liu TT, Wang J, Li H, Yu G, Wang Z, Lv JJ, Zhao HY, Wang EH (2015) Liposarcoma of the larynx: report of a case and review of literature. Int J Clin Exp Pathol 1 8(1):1068–1072

    Google Scholar 

  13. Kodiyan J, Rudman JR, Rosow DE, Thomas GR (2015) Lipoma and liposarcoma of the larynx: case reports and literature review. Am J Otolaryngol 36(4):611–615. https://doi.org/10.1016/j.amjoto.2014.07.003

    Article  PubMed  Google Scholar 

  14. Ferlito A (1990) Laryngeal fibrosarcoma: an over-diagnosed tumor. ORL J Otorhinolaryngol Relat Spec 52(3):194–195

    Article  CAS  Google Scholar 

  15. Franchi A, Flucke U, Thompson LDR (2017) Tumours of the nasal cavity, paranasal sinuses and skull base: malignant soft tissue tumors: fibrosarcoma. In: El-Naggar AK, Chan JKC, Grandis JR, Takata T, Slootweg PJ (eds) Who classification of head and neck tumors. IARC, Lyon

    Google Scholar 

  16. Mobashir MK, Mohamed AE, El-Anwar MW, El Sayed AE, Fouad MA (2015) Massive plexiform neurofibroma of the neck and larynx. Int Arch Otorhinolaryngol 19(4):349–353. https://doi.org/10.1055/s-0034-1396793

    Article  PubMed  Google Scholar 

  17. Son HY, Shim HS, Kim JP, Woo SH (2013) Synchronous plexiform neurofibroma in the arytenoids and neurofibroma in the parapharynx in a patient with non-neurofibromatosis: a case report. J Med Case Rep 10(7):15. https://doi.org/10.1186/1752-1947-7-15

    Article  Google Scholar 

  18. Antonescu CR, Brems H, Legius E, Woodruff JM (2013) Nerve sheath tumors: neurofibroma (including variants). In: Fletcher CDM, Bridge JA, Hogendoorn PCW, Mertens F (eds) Who classification of tumors of soft tissue and bone. IARC, Lyon, pp 174–176

    Google Scholar 

  19. Wong BLK, Bathala S, Grant D (2017) Laryngeal schwannoma: a systematic review. Eur Arch Otorhinolaryngol 274(1):25–34. https://doi.org/10.1007/s00405-016-4013-6

    Article  PubMed  Google Scholar 

  20. Romak JJ, Neel HB 3rd, Ekbom DC (2017) Laryngeal schwannoma: a case presentation and review of the mayo clinic experience. J Voice 31(1):129.e15–129.e18. https://doi.org/10.1016/j.jvoice.2015.12.003

    Article  Google Scholar 

  21. Iriz A, Durmaz E, Akmansu SH, Dagli M, Albayrak L, Eryılmaz A (2009) Vocal cord hemangioma: a rare localization in adults. Turk J Med Sci 39(2):305–307. https://doi.org/10.3906/sag-0802-52

    Article  Google Scholar 

  22. Karatayli-Ozgursoy S, Basaran M, Umudum H, Akmansu SH (2015) Adult laryngeal hemangioma: a rare case report. Otolaryngology 5(4):201. https://doi.org/10.4172/2161-119X

    Article  Google Scholar 

  23. Sproat R, Wong G, Rubin J (2016) Granular cell tumour of the larynx. Head Neck Pathol 10(4):538–540

    Article  Google Scholar 

  24. Porta N, Mazzitelli R, Cacciotti J, Cirenza M, Labate A, Lo Schiavo MG, Laghi A, Petrozza V, Della Rocca C (2015) A case report of a rare intramuscular granular cell tumor. Diagn Pathol 17(10):162. https://doi.org/10.1186/s13000-015-0390-1

    Article  CAS  Google Scholar 

  25. Park JH, Do NY, Cho SI, Choi JY (2010) Granular cell tumor on larynx. Clin Exp Otorhinolaryngol 3(1):52–55. https://doi.org/10.3342/ceo.2010.3.1.52

    Article  PubMed  PubMed Central  Google Scholar 

  26. White JB, Glade R, Rossi CT, Bielamowicz S (2009) Granular cell tumors of the larynx: diagnosis and management. J Voice 23(4):516–517. https://doi.org/10.1016/j.jvoice.2007

    Article  PubMed  Google Scholar 

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Correspondence to Ozlem Saraydaroglu.

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Saraydaroglu, O., Narter, S., Ozsen, M. et al. Non-epithelial tumors of the larynx: case series of 12 years. Eur Arch Otorhinolaryngol 276, 2843–2847 (2019). https://doi.org/10.1007/s00405-019-05527-0

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  • DOI: https://doi.org/10.1007/s00405-019-05527-0

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