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Laryngeal schwannoma masquerading as malignancy.
Chandra Shekhar Annam1, Soumyajit Das2, Aishwari Iyer2
1All India Institute of Medical Sciences - Mangalagiri, Guntur, Andhra Pradesh, India chandrachandu1122@gmail.com.
BMJ Case Reports
|July 16, 2024
Summary
This case study highlights a rare laryngeal schwannoma, a neurogenous tumor, presenting with hoarseness and throat pain. Complete surgical excision was successful, confirming the diagnosis through histopathology.
Area of Science:
- Otolaryngology
- Neurosurgery
- Oncology
Background:
- Laryngeal schwannoma is a rare neurogenous tumor.
- It often presents with non-specific symptoms like hoarseness and throat discomfort.
Observation:
- A middle-aged man presented with hoarseness, globus sensation, and intermittent throat pain.
- Imaging revealed an ill-defined lesion in the larynx with contrast enhancement.
- Direct laryngoscopy showed vocal fold irregularity.
Findings:
- Intraoperative findings revealed a well-defined, submucosal, encapsulated swelling over the right vocal fold.
- Complete excision was achieved using microlaryngeal instruments without the need for tracheostomy.
- Histopathological examination confirmed the diagnosis of schwannoma.
Implications:
- This case underscores the importance of considering rare diagnoses like laryngeal schwannoma in patients with persistent throat symptoms.
- Successful surgical management highlights the efficacy of prompt diagnosis and intervention.
- The findings contribute to understanding the clinical presentation, imaging features, and optimal management of laryngeal schwannomas.
