후두실과 진성대에 발생한 점액종 1예

Myxoma in the Laryngeal Ventricle and the True Vocal Cord:A Case Report

  • 김승우 (서울보훈병원 이비인후과) ;
  • 염동진 (서울보훈병원 이비인후과) ;
  • 강재호 (서울보훈병원 이비인후과) ;
  • 김춘동 (서울보훈병원 이비인후과)
  • Kim, Seung-Woo (Department of Otolaryngology-Head & Neck Surgery, Seoul Veterans Hospital) ;
  • Yum, Dong-Jin (Department of Otolaryngology-Head & Neck Surgery, Seoul Veterans Hospital) ;
  • Kang, Jae-Ho (Department of Otolaryngology-Head & Neck Surgery, Seoul Veterans Hospital) ;
  • Kim, Choon-Dong (Department of Otolaryngology-Head & Neck Surgery, Seoul Veterans Hospital)
  • 발행 : 2007.05.31

초록

Myxoma is an uncertain mesenchymal cell origin, characterized by irregular round, stellate or spindle cells surrounded by the matrix containing abundant mucoid material and scant vascularity. Their occurrence in descending order of frequency is in the heart, subcutaneous tissue, bone and genitourinary tract. In the head and neck region, the most predilection sites are mandible and maxilla(more than 80%). Laryngeal myxoma is extremely rare:only 5 cases have been reported in the English literature. We report a rare case of laryngeal myxoma. A 60-year-old man with hoarseness visited the out-patient department. The mass was located between the vocal fold and the vocal ligament, filling with the left laryngeal ventricle. We planned the laryngo-microsurgery and successfully excised using $CO_2$ laser. The histopathologic finding revealed the myxoma. After 18 months of surgery, there is no evidence of recurrence and mucosal scarring in the vocal fold. This report is the first case of laryngeal myxoma involving the laryngeal ventricle and the true vocal cord together.

키워드

참고문헌

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