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Sunday, November 1, 2020

Laryngeal oncocytic cystadenoma mimicking a combined laryngomucocele.

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Laryngeal oncocytic cystadenoma mimicking a combined laryngomucocele.

BMJ Case Rep. 2020 Oct 29;13(10):

Authors: Salvador P, Moreira da Silva F, Fonseca R

Abstract
Laryngeal oncocytic cystadenomas are rare benign tumours lined by oncocytic epithelium and arising from the salivary glands; they usually present as a supraglottic mass. Oncocytic changes are very uncommon in the larynx and occur mainly in ventricles and false vocal cords, where seromucinous glands predominate. The authors present the case of a 62-year-old woman who reported a 6-month history of hoarseness associated with a soft and non-compressible upper left side neck swelling. Transnasal fiberoptic laryngoscopy revealed a left submucosal supraglottic mass involving the false vocal fold and the vallecula, partially obstructing the airway. CT scan showed a homogeneous isodense cystic lesion centred at the left laryngeal ventricle, with extension through the thyrohyoid membrane. The patient was successfully managed by a lateral thyrotomy approach. Histopathological examination of the specimen revealed a papillary oncocytic cystadenoma and excluded malignancy. There was no evi dence of recurrence after 9 months of follow-up.

PMID: 33122233 [PubMed - in process]

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