Title:
Localisation of mediterranean Kaposi’s sarcoma in Morgagni’s ventricle
Authors:
F. Dispenza*, A. Ballacchino**, A. Di Bernardo***, N. Mathur**,**** and S. Gallina**
Institutions:
*Dipartimento Discipline Chirurgiche e Oncologiche, U.O. Otorinolaringoiatria, Università degli Studi di Palermo, Italia; **U.O. Otorinolaringoiatria, Università degli Studi di Palermo, Italia; ***Dipartimento Patologia Umana Università degli Studi di Palermo, Italia; ****SK Soni Hospital, Jaipur, India
Keywords:
Larynx; Kaposi’s sarcoma; larynx surgery; histopathology; Morgagni’s ventricle
Pages:
289 - 293
Abstract:
Localisation of mediterranean Kaposi’s sarcoma in Morgagni’s ventricle. Objective: Head and neck involve- ment 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 ofAIDS 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 identi- fied 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.
Issue:
Vol. 6, 2010, 4th trimester


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