披裂部に生じたspindle cell lipoma例

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タイトル別名
  • A Case of Spindle Cell Lipoma of the Arytenoid
  • 臨床 披裂部に生じたspindle cell lipoma例
  • リンショウ ヒレツブ ニ ショウジタ spindle cell lipomaレイ
  • 閉経後女性に生じたSertoli-Leydig cell tumorの1例
  • ヘイケイ ゴ ジョセイ ニ ショウジタ Sertoli-Leydig cell tumor ノ 1レイ

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Lipomas usually occur in the posterior neck and the limbs. Lipomas of the oropharynx, hypopharynx, larynx are very rare, typically accounting for less than 1% of all hypopharyngeal and laryngeal benign neoplasms. Histologically, spindle cell lipoma is characterized by mature adipose cells mixed with collagen-forming spindle cells.<br> We present a case of a 79-year-old male with a 6-month history of dysphagia who had a spindle cell lipoma arising from the arytenoid. Flexible videolaryngoscopy showed a single white mass, covered with normal mucosa. A computed tomography (CT) scan and magnetic resonance imaging (MRI) of the neck showed a round mass measuring 1.5 cm at its maximum diameter. Videofluorography of swallowing showed contrast medium reflux toward the larynx. The mass was removed using a KTP laser through a direct-suspension laryngoscope. Postoperative videoendoscopic and videofluoroscopic deglutition studies showed the normal swallowing.<br> It is important to follow up the patient for the long term to check for recurrence and malignant transformation.<br>

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