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      Large lipoma in the subglottic larynx: a case report

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          Abstract

          Lipomas are rare benign tumors in the larynx. We encountered a 70-year-old man with a large lipoma in the subglottic area. His chief symptom was a 3-month history of progressive dyspnea. Transnasal flexible endoscopy showed a large mass on the posterior wall of the subglottic region. A computed tomography scan revealed a lesion occupying 75% to 80% of the subglottic airway. In this article, we discuss the imaging changes, clinical evaluation, and treatment of this patient’s lipoma.

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          Giant infiltrating lipoma of the face: CT and MR imaging findings.

          Infiltrating lipoma is an uncommon mesenchymal neoplasm that characteristically infiltrates adjacent tissues and tends to recur after excision. This type of lipoma is extremely rare in the head and neck region. We report a case of a giant infiltrating lipoma of the face, studied with CT and MR imaging.
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            Large lipoma of the larynx: a case report.

            Fewer than 15% of lipomas occur in the head and neck. Lipomas of the larynx are very rare benign laryngeal tumors (0.6%). To date less than 100 case of laryngeal lipoma have been reported in the literature.Clinical manifestation include progressive horseness, dyspnea, and even dysphagia. In the direct exam smooth or pedunculated mass is seen in the larynx and sometimes if tumor is large enough a mass palpated in the neck. In the computed tomography (CT) low attenuation mass is seen. Treatment of laryngeal lipoma consists of endoscopic removal or external surgical approach depending on tumor size. The authors present a case of laryngeal lipoma that involved the true vocal cord. The following is a report of a single case of laryngeal lipoma, Including esteroboscopy, radiologic and intraoperative finding as well as review of the literature.
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              Lipoma of the larynx: a case report.

              Lipoma is a benign tumour of mesenchymal origin with a very rare occurrence in the upper aero-digestive tract. To date, approximately 100 cases have been described in the literature. This lesion has a slow growth and, therefore, can present with various symptoms due to the mass effect with obstruction and compression on neighbouring structures, including dysphagia for liquid and solid food, dyspnoea and hoarseness. For a precise pre-operative diagnosis, indirect or direct laryngoscopy (flexible fibre-optic laryngoscopy) can be employed or, if necessary, also imaging techniques such as computed tomography scan and magnetic resonance imaging scan. These offer more useful information for better treatment planning. Surgery is the treatment of choice and includes endoscopic techniques and an external surgical approach (cervicotomy). It is very important to completely remove these benign neoplasms in order to avoid local recurrence. The present report referring to a case of laryngeal lipoma removed through an external surgical approach, aims to demonstrate that the choice of an external surgical approach is required for complete surgical removal of a large lipoma in order to prevent any possible recurrence. Furthermore, it is useful to keep in mind the possibility of recurrence of lipomas after long free intervals; therefore, it is mandatory to observe these patients at long-term follow-up.
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                Author and article information

                Journal
                J Int Med Res
                J. Int. Med. Res
                IMR
                spimr
                The Journal of International Medical Research
                SAGE Publications (Sage UK: London, England )
                0300-0605
                1473-2300
                4 June 2020
                June 2020
                : 48
                : 6
                : 0300060520928786
                Affiliations
                [1-0300060520928786]Department of Otolaryngology, Head and Neck Surgery, the 901st Hospital of the Joint Logistics Support Force of PLA, Hefei, China
                Author notes
                [*]Benzhong Zhou, Department of Otolaryngology, Head and Neck Surgery, the 901st Hospital of the Joint Logistics Support Force of PLA, 424 West Changjiang Road, Hefei 230031, China. Email: zbz6495@ 123456126.com
                Author information
                https://orcid.org/0000-0002-4792-6113
                Article
                10.1177_0300060520928786
                10.1177/0300060520928786
                7273573
                32495672
                eb9b4d55-a1a6-4dd1-9a9a-2d736953c1ab
                © The Author(s) 2020

                Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                : 29 January 2020
                : 30 April 2020
                Categories
                Case Report
                Custom metadata
                corrected-proof
                ts2

                laryngeal lipoma,subglottic area,mesenchymal tumors,endoscope,operation,computed tomography

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