Amyloidosis in the nasopharynx and larynx: a case report

J Int Med Res. 2022 Dec;50(12):3000605221144151. doi: 10.1177/03000605221144151.

Abstract

Amyloidosis is a disease caused by amyloid deposition in tissues or organs. According to the extent of the lesion, it can be divided into systemic amyloidosis and localized amyloidosis. Amyloidosis originating in the larynx accounts for approximately 0.5% to 1.0% of benign lesions of the larynx; such lesions are relatively rare and mostly localized. Nasopharyngeal amyloidosis combined with laryngeal amyloidosis is even rarer. We herein present a case involving a patient with amyloidosis in the nasopharynx and larynx who presented with a foreign body sensation and hoarseness in the pharynx. Electronic fiber laryngoscopy revealed a smooth neoplasm in the left nasopharynx and left vocal cord. The patient underwent surgical treatment, and the postoperative pathologic examination results suggested amyloidosis. Special staining performed using Congo red and crystal violet was positive, confirming amyloidosis. The patient recovered after surgery, and no recurrence was present at the 3- and 6-month follow-ups.

Keywords: Congo red stain; Nasopharyngeal amyloidosis; case report; electronic fiber laryngoscopy; laryngeal amyloidosis; surgical resection.

Publication types

  • Case Reports

MeSH terms

  • Amyloidosis* / complications
  • Amyloidosis* / diagnosis
  • Amyloidosis* / surgery
  • Humans
  • Immunoglobulin Light-chain Amyloidosis* / pathology
  • Laryngeal Diseases* / complications
  • Laryngeal Diseases* / diagnosis
  • Laryngeal Diseases* / surgery
  • Larynx* / diagnostic imaging
  • Larynx* / pathology
  • Larynx* / surgery
  • Nasopharynx / pathology
  • Nasopharynx / surgery