Key result
Direct laryngoscopic excision of a recurrent malignant laryngeal fibrous histiocytoma with a 2 mm safety margin resulted in no postoperative recurrence at 10 months follow-up.
Case Report (n=1)
No
Direct laryngoscopic excision with a 2 mm safety margin may be an effective management strategy to prevent recurrence of malignant laryngeal fibrous histiocytoma.
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May support narrow-margin endoscopic excision in rare recurrent laryngeal sarcomas; leaves open need for prospective validation.
A 75-year-old male patient presented to the Speech and Language Disorder Outpatient Clinic of King Abdullah Medical City, Makkah, Saudi Arabia, on February, 2010, with a complaint of gradual onset and progressive course of dysphonia for 2 years. Nasofibrolaryngoscopic examination indicated a polipoidal mass of about 1.5 × 1 cm masking the entire glottic inlet. The mass was removed by direct laryngoscopy and diagnosed as a malignant fibrous histiocytoma. The patient developed recurrence of the tumor on the same site postoperatively and underwent the same procedure of excision, followed by a second recurrence. Direct laryngoscopic excision of the tumor was performed for a third time, but with a safety margin of 2 mm. Monthly follow-up examination indicated no postoperative recurrence till 10 months.
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Alherabi et al. (2015) conducted a case report in Malignant laryngeal fibrous histiocytoma (n=1). Direct laryngoscopic excision with a safety margin of 2 mm was evaluated on Postoperative recurrence. Direct laryngoscopic excision of a recurrent malignant laryngeal fibrous histiocytoma with a 2 mm safety margin resulted in no postoperative recurrence at 10 months follow-up.
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