Inflammatory myofibroblastic tumor of the larynx

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Date: July 2018
From: Ear, Nose and Throat Journal(Vol. 97, Issue 7)
Publisher: Sage Publications, Inc.
Document Type: Case study
Length: 504 words
Lexile Measure: 1260L

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A 74-year-old man with congestive heart failure, hypertension, hyperlipidemia, diabetes mellitus, and a history of stroke was brought to our emergency room in August 2014 with pneumonia and acute respiratory failure. During emergent intubation, a supraglottic mass with subtotal upper airway obstruction was found. Magnetic resonance imaging (MRI) showed an enhancing soft-tissue tumor measuring approximately 1.27 X 1.72 X 3.56 cm (figure 1) in the supraglottic, glottic and subglottic area without destruction of the adjacent thyroid cartilage.

We performed tracheotomy and microlaryngeal surgery biopsy on September 1, 2014. Pathologic examination revealed atypical cells (final diagnosis deferred). We performed debulking excision of the supraglottic tumor on September 22,2014. Pathologic examination revealed an inflammatory myofibroblastic tumor (IMT). However, tumor regrowth was discovered by flexible laryngoscopy (figure 2). The...

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Gale Document Number: GALE|A550612785