Solitary neurofibroma of the larynx: a diagnostic challenge

BMJ Case Rep. 2021 Jan 18;14(1):e236682. doi: 10.1136/bcr-2020-236682.

Abstract

Solitary neurofibromas of the larynx are extremely rare, with a total of 15 cases described in the literature. Nonetheless, acquaintance with this diagnosis is important, as misdiagnoses can have negative consequences. Presenting symptoms are non-specific and depend on tumour size and location. As well-defined submucosal masses with a broad differential diagnosis, they remain a clinical and radiological challenge. While some characteristics might favour a benign nature and subtle signs might help narrow the differential diagnosis, imaging alone is not sufficient for differentiation and definitive diagnosis requires a biopsy. Complete surgical resection and long-term follow-up is indicated. We share our experience on a case of a solitary laryngeal neurofibroma in a middle-aged woman, presenting with a large well-defined paraglottic lesion.

Keywords: ear; head and neck cancer; head and neck surgery; nose and throat/otolaryngology; peripheral nerve disease; radiology.

Publication types

  • Case Reports

MeSH terms

  • Diagnosis, Differential
  • Female
  • Humans
  • Laryngeal Neoplasms / diagnosis*
  • Middle Aged
  • Neurofibroma / diagnosis*