B-ENT

Localisation of mediterranean Kaposi’s sarcoma in Morgagni’s ventricle

1.

Dipartimento Discipline Chirurgiche e Oncologiche, U.O. Otorinolaringoiatria, Università degli Studi di Palermo, Italia

2.

U.O. Otorinolaringoiatria, Università degli Studi di Palermo, Italia

3.

Dipartimento Patologia Umana Università degli Studi di Palermo, Italia

4.

SK Soni Hospital, Jaipur, India

B-ENT 2010; 6: 289-293
Read: 448 Downloads: 370 Published: 16 February 2020

Localisation of mediterranean Kaposi’s sarcoma in Morgagni’s ventricle. Objective: Head and neck involvement in Kaposi’s Sarcoma (KS) is not unusual. However, laryngeal involvement is a relatively infrequent manifestation and ENT specialists should consider it in differential diagnosis in laryngeal lesions of AIDS patients and/or subjects from the Mediterranean area.

Methods: Case report and review of the literature in English.

Clinical Case: Male patient presenting with a three-month history of cough and acute dyspnoea. Laryngoscopy identified a laryngeal mass occluding the glottic plane. Tracheotomy was then performed and the laryngeal lesion was removed. Histopathology showed neoplastic spindle cells that were positive to immunostain with CD-31 and CD-34, and immunoreactivity for HHV-8 was present. A diagnosis of KS was then suspected and confirmed after dermatological inspection.

Conclusion: Purple vascular mass lesions should lead in ENT to a high index of suspicion to exclude systemic diseases. Laryngeal KS must be included in the differential diagnosis of pigmented laryngeal lesions to plan correct management.

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EISSN 2684-4907