Abstract
We evaluated he clinical and radiological findings in 35 patients with submucosal laryngeal masses. The presenting symptoms were hoarseness, stridor, dysphagia and external neck mass. In 20 cases an important delay between the onset of symptoms and direct laryngoscopy was found. There was a considerable delay between laryngoscopy and definitive diagnosis in 13 cases due to repeated negative biopsies. Computed tomography pointed out the location and extension of the masses in all cases. In 27 mass lesions CT allowed correct prediction of the malignant or benign character of the lesion. In 6 cases no reliable differentiation could be made. The lesion was mischaracterised in 2 cases. Magnetic resonance imaging was also performed in 4 patients, and showed the extent of the lesion better; in 1 case MRI narrowed the differential diagnosis. In the case of a negative biopsy result, radiological findings should incite further investigation, reducing the possible delay between the onset of symptoms and definitive diagnosis.
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Saleh EM, Mancuso AA, Stringer SP (1992) CT of submucosal and occult laryngeal masses. J Comput Assist Tomogr 16: 87.
Saleh EM, Mancuso AA, Alhussaini AA (1992) Computed tomography of primary subglottic cancer: clinical importance of typical spread pattern. Head Neck 14: 125.
Becker M, Zbären P, Laeng H, Stoupis C, Procellini B, Vock P (1995) Neoplastic invasion of the laryngeal cartilage: comparison of MR imaging and CT with histopathologic correlation. Radiology 194: 661.
Batsakis JG, Fox JE (1970) Supporting tissue neoplasms of the larynx. Surg Gynecol Obstet 131: 989.
Batsakis JG, Luna MA, El-Naggar AK (1992) Nonsquamous carcinoma of the larynx. Ann Otol Rhinol Laryngol 101: 1024.
Griffin JL, Ramadan HH, Wetmore SJ (1993) Laryngocele: a cause of stridor and airway obstruction. Otolaryngol Head Neck Surg 108: 760.
Micheau C, Luboinski B, Sancho H, Cachin Y (1976) Modes of invasion of cancer of the larynx. A statistical histological and radiological analysis of 120 cases. Cancer 38: 346.
Godbersen GS, Leh JF, Hansmann ML, Rudert H, Linke RP (1992) Organ-limited laryngeal amyloid deposits: clinical, morphological, and immunohistochemical results of five cases. Ann Otol Rhinol Laryngol 101: 770.
Raymond AK, Sneige N, Batsakis JG (1992) Amyloidosis in the upper aerodigestive tracts. Ann Otol Rhinol Laryngol 101: 794.
Foer B de, Hermans R., Geenstra L, Baert AL (1993) CT and MRI of laryngeal amyloidosis. Fortschr Röntgenstr 159: 492.
Gean-Marton AD, Kirsch CF, Vezina LG, Weber AL (1991) Focal amyloidosis of the head and neck: evaluation with CT and MRI imaging. Radiology 181: 521.
Wippold FJ II, Smirniotopoulos JG, Mogan CJ, Glazer HS (1993) Chondrosarcoma of the larynx: CT features. AJNR 14: 453.
Hoffer ME, Pribitkin E, Keane WM, Atkins JP (1992) Laryngeal chondrosarcoma: diagnosis and management. Ear Nose Throat J 71: 659.
Hermans R, Sciot R, Delaere P, Van Damme B, Baert AL (1994) Callus originating in the laryngeal skeleton, presenting as a neck lump: a case report. J Laryngol Otol 108: 354.
Hanson DG, Mancuso AA, Hanafee WN (1982) Pseudomass lesions due to occult trauma of the larynx. Laryngoscope 92: 1249.
Piekarski JD, Bounatiro Y, Heran F, Ciobanca S (1993) Les asymmétries des cartilages laryngés: un problème diagnostique mal connu. Radiologie J CEPUR 13: 44.
Cohen J, Guillamondegui OM, Batsakis JG, Medina JG (1985) Cancer of the minor salivary glands of the larynx. Am J Surg 150: 513.
Jahnke V, Vogl Th (1994) Nicht-plattenepitheliale Malignome des Larynx unter besonderer Berücksichtigung der MRT-Diagnostik. Laryngol Rhinol Otol 73: 32.
Mancuso AA, Hanafee WN (1983) Elusive head and neck carcinomas beneath intact mucosa. Laryngoscope 93: 133.
Hermans R, Horvath M, Schrijver T de, Lemahieu SF, Baert AL (1994) Extranodal non-Hodgkin lymphoma of the head and neck. J Belge Radiol 77: 72.
Wansbo HJ, Koness RJ, McFarlane JK et al (1992) Head and neck sarcoma: report of the head and neck sarcoma registry. Society of Head and Neck Surgeons Committee on Research. Head Neck 14: 1.
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De Foer, B., Hermans, R., Van der Goten, A. et al. Imaging features in 35 cases of submucosal laryngeal mass lesions. Eur. Radiol. 6, 913–919 (1996). https://doi.org/10.1007/BF00240704
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DOI: https://doi.org/10.1007/BF00240704