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 UNUSUAL CASE
Year : 2021  |  Volume : 17  |  Issue : 3  |  Page : 376-378

Transoral robotic resection of unusual spindle cell/pleomorphic lipoma of the larynx


1 Department of Otorhinolaryngology and Head and Neck, Marly Clinic, Bogotá DC; Department of Otorhinolaryngology, National University of Colombia and National University Hospital of Colombia, Bogotá; Department of Head and Neck, National Cancer Institute, Bogotá, Colombia
2 Department of Pathology, Marly Clinica and National Cancer Institute, Bogotá, Colombia
3 Department of Otorhinolaryngology and Head and Neck, Marly Clinic, Bogotá DC; Department of Otorhinolaryngology, Section of Laryngology, Children's University Hospital of San José, University Foundation of Health Sciences, Bogotá, Colombia

Correspondence Address:
Dr. Enrique Cadena-Pineros
Calle 50 # 9 – 67, Marly Clinic, Bogotá
Colombia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmas.JMAS_289_20

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Spindle cell/pleomorphic lipoma (SC/PL) is a subcutaneous mass usually localised on nape, shoulder or upper back. It is a benign lipogenic tumour composed of primitive CD34-positive spindle cells, floret-like multinucleated giant cells and mature adipocytes. Complete surgical excision is the optimal treatment. This unusual tumour in the larynx has only been reported in the medical literature once and was treated surgically by open approach. Actually, transoral robotic surgery (TORS) is most suitable because provides tridimensional magnified view plus a greater mobility with instruments, allowing complete and safe removal of the supraglottic mass, allowing rapid healing and recovery. We present the first case of a SC/PL of larynx managed with TORS. Four hours after surgery, the patient was able to take a soft diet and was discharged 2 h later. The follow-up showed an excellent clinical and functional outcome.






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