An unusual case of angioleiomyoma of the vocal cord in a patient with oral cancer

Authors

  • Ashwini Munnangi Department of Head and Neck Oncology, Apollo Cancer Centre, Jubilee Hills, Telangana, India
  • Rahul Buggaveeti Department of Head and Neck Oncology, Apollo Cancer Centre, Jubilee Hills, Telangana, India
  • Abhishek Budharapu Department of Head and Neck Oncology, Apollo Cancer Centre, Jubilee Hills, Telangana, India
  • Vinila Belum Reddy Department of Pathology, Apollo Medical College, Telangana, India
  • Vijay Kumar Chennamchetty Department of Pulmonology, Apollo Cancer Centre, Jubilee Hills, Telangana, India
  • Umanath K. Nayak Department of Head and Neck Oncology, Apollo Cancer Centre, Jubilee Hills, Telangana, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20223389

Keywords:

Vocal cord, Angioleiomyoma, Benign, Management

Abstract

Angioleiomyomas, as the name suggests, are tumors arising from smooth muscle of vascular tissue. We report a case of angioleiomyoma arising from the right vocal cord in a 45-year-old male with a history of squamous cell carcinoma (SCC) of the oral cavity who had restricted mouth opening owing to previous surgery and adjuvant radiation therapy because of which accessing the vocal cord tumour was difficult by conventional laryngoscopy. Initial bronchoscopy guided excision of the tumour was done. After a month, an emergency tracheostomy had to be performed as he presented with stridor due to recurrence of tumour. Laryngofissure was performed and tumour was excised. The patient is on regular follow up with no recurrence of tumour. We present in this case report, the clinical presentation, diagnosis, management options, pathological features and outcomes of this rare entity known as laryngeal angioleiomyoma.

 

Author Biographies

Ashwini Munnangi, Department of Head and Neck Oncology, Apollo Cancer Centre, Jubilee Hills, Telangana, India

Junior Consultant

Head and Neck oncology

Rahul Buggaveeti, Department of Head and Neck Oncology, Apollo Cancer Centre, Jubilee Hills, Telangana, India

Consultant 

Head & Neck oncology

Abhishek Budharapu, Department of Head and Neck Oncology, Apollo Cancer Centre, Jubilee Hills, Telangana, India

Consultant

Head & neck oncology

Vinila Belum Reddy, Department of Pathology, Apollo Medical College, Telangana, India

Consultant

Pathology

 

Vijay Kumar Chennamchetty, Department of Pulmonology, Apollo Cancer Centre, Jubilee Hills, Telangana, India

Consultant

Pathology

Umanath K. Nayak, Department of Head and Neck Oncology, Apollo Cancer Centre, Jubilee Hills, Telangana, India

Senior Consultant

Head and Neck oncology

References

Perardi F, Abbate G, Iannuzzelli LR, Contini R, De Munari M, Sciuto FG, et al. Angioleiomyoma of the Larynx: A Case Report and Literature Review. Ear, Nose & Throat Journal. 2020;99(10):658-63.

Zhao X, Yu D, Zhao Y, Liu Y, Qi X, Jin C. A case of laryngeal angioleiomyoma and review of literature. Int J Clin Exp Med. 2015;8(1):1446-52.

Liu Y, Li B, Li L, Liu Y, Wang C, Zha L. Angioleiomyomas in the head and neck: A retrospective clinical and immunohistochemical analysis. Oncol Lett. 2014;8(1):241-7.

Hope N, Smith CP, McCluney N. Angioleiomyoma of the larynx: beware the subglottic lesion. BMJ Case Rep. 2015;2015:bcr2015213469.

Rezaee A, Ebrahimi L, Sadeghipour A, Azimzadeh B, Azizian A. Laryngeal angioleiomyoma: A case report of a 52-year-old female. Case Reports in Clin Med. 2013;2:20-3.

Hayashi M, Tomita S, Fukasawa I, Inaba N. Large angioleiomyoma, rich of mast cell and sex hormone receptor expression. Arch Gynecol Obstet. 2009;279:193–7.

Naito S, Shimizu K, Akino K, Ohtsuru A, Watanabe M, Yamashita S, et al. Autocrine/paracrine involvement of parathyroid hormone-related peptide in vascular leiomyoma. Endocr J. 2002;49(3):335-41.

Morimoto N. Angioleiomyoma [vascular leiomyoma]-a clinicopathologic study. Med J Kagoshima Univ. 1974;24:663-6.

Xu Y, Zhou S, Wang S. Vascular leiomyoma of the larynx: a rare entity. Three case reports and literature review. ORL J Otorhinolaryngol Relat Spec. 2008;70(4):264-7.

Anderson, TD, Weinstein, GS. Recurrent angiomyoma (vascular leiomyoma) of the larynx after laser excision. Otolaryngol Head Neck Surg. 2000;123(5):646–7.

Khafateh, Chandran Y, Swapna C, Mohammed A, Mostafa F, Houda A. Angioleiomyoma of the Larynx Presenting as Vocal Cord Lesion: A Rare Entity. Am J Clin Pathol. 2018;149:S151-1.

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Published

2022-12-27

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Section

Case Reports