American Journal of Neuroradiology, Vol 17, Issue 6 1112-1114, Copyright © 1996 by American Society of Neuroradiology
ARTICLES |
Leiomyosarcoma of the larynx presenting as a laryngopyocele
RC Helmberger, BP Croker and AA Mancuso
Department of Radiology, University of Florida College of Medicine, Gainesville 32610, USA.
An 87-year-old man had an 8-month history of hoarseness, respiratory distress, and dysphagia. Physical examination, including direct laryngoscopy, revealed a mass on the right anterolateral side of the neck and a submucosal mass of the supraglottic larynx. A contrast- enhanced CT scan showed a more superior cystic mass, a laryngopyocele resulting from a more inferior, solid-appearing and obstructing mass at the level of the true vocal cord. The obstructing mass was also entirely submucosal at direct laryngoscopy; however, a biopsy specimen revealed a malignant tumor. Subsequent total laryngectomy and pathologic review showed it to be a leiomyosarcoma.
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