Laryngeal schwannoma: A case report with short literature review

Introduction. Laryngeal schwannomas are rare benign neuro-genic tumors. They are usually localized in the supraglottic portion of the larynx. We reported a rare case of laryngeal schwannoma with a focus on clinical presentation, diagnosis and management. Case report. A 61-year old male patient with...

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Main Authors: Relić Nenad, Jevtić Milica, Belić Branislav, Petrović-Rodić Dušica, Jevtović Andra, Božović Natalija, Jovanović Marina, Stojanović Jasmina
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2021-01-01
Series:Vojnosanitetski Pregled
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Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2021/0042-84502000086R.pdf
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author Relić Nenad
Jevtić Milica
Belić Branislav
Petrović-Rodić Dušica
Jevtović Andra
Božović Natalija
Jovanović Marina
Stojanović Jasmina
author_facet Relić Nenad
Jevtić Milica
Belić Branislav
Petrović-Rodić Dušica
Jevtović Andra
Božović Natalija
Jovanović Marina
Stojanović Jasmina
author_sort Relić Nenad
collection DOAJ
description Introduction. Laryngeal schwannomas are rare benign neuro-genic tumors. They are usually localized in the supraglottic portion of the larynx. We reported a rare case of laryngeal schwannoma with a focus on clinical presentation, diagnosis and management. Case report. A 61-year old male patient with a 3-year history of hoarseness underwent telescopic examination which revealed an oval submucosal tumefaction of the left ventricular fold extending over the left vocal fold toward the right ventricular fold. Multislice computed tomography showed a 22 x 15 mm well defined, oval heterodense mass in the region of the left ventricular fold, extending toward the left vocal fold and the posterior commissure of the larynx, with signs of initial compression lesion of the thyroid cartilage. Biopsy and histopathology revealed a primary benign encapsulated mesenchymal tumor, while immunohistochemistry analysis confirmed schwannoma diagnosis. The patient underwent tracheotomy and left hemilaryngectomy, with complete removal of the tumor. There were no signs of recurrence at the six-month follow-up. Conclusion. Schwannomas are rare among benign tumors of the larynx and might grow for years before being diagnosed. Biopsy with histopathology analysis is used to confirm the diagnosis of laryngeal schwannoma, although extreme care should be taken during biopsy. Treatment consists of complete surgical excision; the surgical approach depends on the size and localization of the tumor, as well as on the presence of a peduncle.
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publishDate 2021-01-01
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spelling doaj-art-867b7d3c4c5b47c597914f746c33eb8d2025-08-20T03:37:53ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202021-01-0178121343134610.2298/VSP200803086R0042-84502000086RLaryngeal schwannoma: A case report with short literature reviewRelić Nenad0https://orcid.org/0000-0003-1066-476XJevtić Milica1https://orcid.org/0000-0001-7798-5379Belić Branislav2https://orcid.org/0000-0002-8350-4321Petrović-Rodić Dušica3Jevtović Andra4https://orcid.org/0000-0002-5214-7800Božović Natalija5Jovanović Marina6Stojanović Jasmina7https://orcid.org/0000-0003-4998-6782Clinical Centre Kragujevac, Clinic for Otorhinolaryngology, Kragujevac, SerbiaClinical Centre Kragujevac, Clinic for Otorhinolaryngology, Kragujevac, Serbia + University of Kragujevac, Faculty of Medical Sciences, Kragujevac, Department of Otorhinolaryngology, Kragujevac, SerbiaClinical Centre Kragujevac, Clinic for Otorhinolaryngology, Kragujevac, Serbia + University of Kragujevac, Faculty of Medical Sciences, Kragujevac, Department of Otorhinolaryngology, Kragujevac, SerbiaClinical Centre Kragujevac, Department of Pathology, Kragujevac, SerbiaClinical Centre Kragujevac, Clinic for Otorhinolaryngology, Kragujevac, Serbia + University of Kragujevac, Faculty of Medical Sciences, Kragujevac, Department of Otorhinolaryngology, Kragujevac, SerbiaClinical Centre Kragujevac, Clinic for Otorhinolaryngology, Kragujevac, Serbia + University of Kragujevac, Faculty of Medical Sciences, Kragujevac, Department of Otorhinolaryngology, Kragujevac, SerbiaClinical Centre Kragujevac, Clinic for Otorhinolaryngology, Kragujevac, Serbia + University of Kragujevac, Faculty of Medical Sciences, Kragujevac, Department of Otorhinolaryngology, Kragujevac, SerbiaClinical Centre Kragujevac, Clinic for Otorhinolaryngology, Kragujevac, Serbia + University of Kragujevac, Faculty of Medical Sciences, Kragujevac, Department of Otorhinolaryngology, Kragujevac, SerbiaIntroduction. Laryngeal schwannomas are rare benign neuro-genic tumors. They are usually localized in the supraglottic portion of the larynx. We reported a rare case of laryngeal schwannoma with a focus on clinical presentation, diagnosis and management. Case report. A 61-year old male patient with a 3-year history of hoarseness underwent telescopic examination which revealed an oval submucosal tumefaction of the left ventricular fold extending over the left vocal fold toward the right ventricular fold. Multislice computed tomography showed a 22 x 15 mm well defined, oval heterodense mass in the region of the left ventricular fold, extending toward the left vocal fold and the posterior commissure of the larynx, with signs of initial compression lesion of the thyroid cartilage. Biopsy and histopathology revealed a primary benign encapsulated mesenchymal tumor, while immunohistochemistry analysis confirmed schwannoma diagnosis. The patient underwent tracheotomy and left hemilaryngectomy, with complete removal of the tumor. There were no signs of recurrence at the six-month follow-up. Conclusion. Schwannomas are rare among benign tumors of the larynx and might grow for years before being diagnosed. Biopsy with histopathology analysis is used to confirm the diagnosis of laryngeal schwannoma, although extreme care should be taken during biopsy. Treatment consists of complete surgical excision; the surgical approach depends on the size and localization of the tumor, as well as on the presence of a peduncle.http://www.doiserbia.nb.rs/img/doi/0042-8450/2021/0042-84502000086R.pdfdiagnosislaryngeal neoplasmsmultidetector computed tomographyneurilemmomaotorhinolaryngologic surgical procedures
spellingShingle Relić Nenad
Jevtić Milica
Belić Branislav
Petrović-Rodić Dušica
Jevtović Andra
Božović Natalija
Jovanović Marina
Stojanović Jasmina
Laryngeal schwannoma: A case report with short literature review
Vojnosanitetski Pregled
diagnosis
laryngeal neoplasms
multidetector computed tomography
neurilemmoma
otorhinolaryngologic surgical procedures
title Laryngeal schwannoma: A case report with short literature review
title_full Laryngeal schwannoma: A case report with short literature review
title_fullStr Laryngeal schwannoma: A case report with short literature review
title_full_unstemmed Laryngeal schwannoma: A case report with short literature review
title_short Laryngeal schwannoma: A case report with short literature review
title_sort laryngeal schwannoma a case report with short literature review
topic diagnosis
laryngeal neoplasms
multidetector computed tomography
neurilemmoma
otorhinolaryngologic surgical procedures
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2021/0042-84502000086R.pdf
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AT belicbranislav laryngealschwannomaacasereportwithshortliteraturereview
AT petrovicrodicdusica laryngealschwannomaacasereportwithshortliteraturereview
AT jevtovicandra laryngealschwannomaacasereportwithshortliteraturereview
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