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Wien Klin Wochenschr. 2016 Feb;128(3-4):146-9. doi: 10.1007/s00508-015-0866-8. Epub 2015 Oct 5.

Acute dyspnea caused by a giant spindle cell lipoma of the larynx.

Author information

1
Department of Otolaryngology, University Hospital St.Pölten, Probst Führer-Straße 4, 3100, St.Pölten, Austria. astrid.wolf-magele@stpoelten.lknoe.at.
2
Department of Otolaryngology, University Hospital St.Pölten, Probst Führer-Straße 4, 3100, St.Pölten, Austria.
3
Department of Otolaryngology, University Hospital Innsbruck, Innsbruck, Austria.
4
Institute of Clinical Pathology, University Hospital St.Pölten, St.Pölten, Austria.
5
Department of Otolaryngology, University Hospital St.Pölten, Probst Führer-Straße 4, 3100, St.Pölten, Austria. georg.sprinzl@stpoelten.lknoe.at.

Abstract

BACKGROUND:

The spindle cell lipoma (SCL) is a special type of lipoma and this is very rare in the head and neck regions. There are only five reported cases exist, which describes the occurrence of a SCL in the hypopharynx.

METHODS:

Our case report presents a case of a very large SCL in the larynx. We want to describe that how we treated the patients and compared the situation with other reported cases.

RESULTS:

Intraoperatively, we found a tumor mass of 7 × 5 cm. It was successfully removed with the carbon dioxide laser. No postoperative complications occurred.

CONCLUSIONS:

Although SCL is a very rare diagnosis in the larynx/hypopharynx, it should be included in the differential diagnosis of larynx/hypopharynx tumors. Our case is the first report of such a large SCL in the larynx. The clinical symptoms occurred relatively late and ended up in an acute situation of stridor and dyspnea.

KEYWORDS:

Acute dyspnea; CO2 laser; Larynx; Spindle cell lipoma

PMID:
26438102
DOI:
10.1007/s00508-015-0866-8
[Indexed for MEDLINE]

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