Diagnosis and Management of Solitary Laryngeal Neurofibromas

Am J Med Sci. 2018 Jul;356(1):79-83. doi: 10.1016/j.amjms.2017.12.005. Epub 2017 Dec 24.

Abstract

Solitary laryngeal neurofibromas are exceedingly rare with only 14 cases reported in the previous literature. Herein, we reported a case of solitary laryngeal neurofibroma and reviewed all the published cases of this disease on the clinical manifestations and management options. Patients with solitary laryngeal neurofibromas can present with a variety of respiratory symptoms. Immunohistochemical examination of tumor specimen is critical for pathologic diagnosis and complete surgical resection is the optimal therapy. Endoscopic microsurgeries followed by CO2 laser management of the surgical border may be effective on preventing recurrence. Depending on the location, size and invasiveness of the lesions, the management and prognosis vary among patients. Long-term follow-up is highlighted owing to the possibility of recurrence during a long period of time after surgery.

Keywords: Asthma; Laryngeal neoplasm; Solitary neurofibroma.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Humans
  • Immunohistochemistry
  • Laryngeal Neoplasms* / diagnosis
  • Laryngeal Neoplasms* / metabolism
  • Laryngeal Neoplasms* / surgery
  • Laryngoscopy*
  • Laser Therapy*
  • Neoplasm Recurrence, Local* / diagnosis
  • Neoplasm Recurrence, Local* / mortality
  • Neoplasm Recurrence, Local* / surgery
  • Neurofibroma / diagnosis
  • Neurofibroma / metabolism
  • Neurofibroma / surgery