Title:
Laryngeal Kaposi sarcoma: case report and literature review
Authors:
G. Lawson*, N. Matar*, S. Kesch*, N. Levêque*, M. Remacle*, M-C. Nollevaux** and Ch. Doyen***
Institutions:
*ENT&Head Neck, Université Catholique de Louvain, Cliniques Universitaires de Mont-Godinne, Yvoir, Belgium; **Pathology, Université Catholique de Louvain, Cliniques Universitaires de Mont-Godinne, Yvoir, Belgium; ***Hematology department. Université Catholique de Louvain, Cliniques Universitaires de Mont-Godinne, Yvoir, Belgium
Keywords:
Larynx; Kaposi sarcoma; symptoms; disease management; transoral laser surgery
Pages:
285 - 288
Abstract:
Laryngeal Kaposi sarcoma: case report and literature review. Problem/Objective: Kaposi sarcoma is the most frequently-occurring neoplasm in AIDS patients. Laryngeal localization is infrequent. We discuss the management options for laryngeal Kaposi sarcoma based on a literature review. Case report:A 42 year old, HIV-positive male receiving HAART therapy presented with mild hoarseness and sore throat. Fiberoptic laryngeal examination identified a small purple lesion in the right ventricular fold. He underwent biopsy under general anaesthesia. The lesion was histologically diagnosed as a Kaposi sarcoma. Systemic treatment was pursued, but 6 weeks later the patient developed severe dysphagia and acute airway obstruction when the lesion became glotto-supraglottic and obstruced the airway. Transoral tumour vaporization with a2COser was performed in the emergency department. Post-operative chemotherapy was administered. Three months later, the patient was completely asymptomatic and the laryngeal examination was normal. Conclusion: Transoral CO2laser vaporization combined with chemotherapy is a valid option for managing obstructive laryngeal Kaposi sarcoma.
Issue:
Vol. 6, 2010, 4th trimester


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Laryngeal Kaposi sarcoma: case report and literature review