Laryngeal Kaposi sarcoma: case report and literature review
(2010) B-ENT — Vol. 6, p. 285-288 (2010)
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- Abstract
- 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 a CO2 laser 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 CO2 laser vaporization combined with chemotherapy is a valid option for managing obstructive laryngeal Kaposi sarcoma.
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Lawson, G., Matar, N., Kesch, S., Remacle, M., Nollevaux, M.-C., & Doyen, C. (2010). Laryngeal Kaposi sarcoma: case report and literature review. B-ENT, 6, 285-288. https://hdl.handle.net/2078.5/55931 (Original work published 2010)