FIBROUS NEOPLASMS OF THE ADULT LARYNX

Fibrous neoplasms of the adult larynx are uncommon and can be benign, locally aggressive, or malignant. From January 1, 1987 to December 31, 1991, 189 adult patients underwent partial or total laryngectomy for laryngeal neoplasms at the University of Texas Southwestern Medical Ce nter-affiliated hospitals. During this period, three (1.6%) patients w ere treated for fibrous neoplasms of the larynx. All three lesions aro se in the true vocal fold. In one patient, a local recurrence within 6 months following partial laryngeal resection necessitated total laryn gectomy. All three patients are alive and disease-free 1 to 4 years fo llowing definitive surgery. We present these cases and discuss compute d tomographic (CT), histopathologic, and electron microscopic (EM) fin dings. Based on this experience, surgical treatment of these lesions i s recommended, the extent of which is guided by clinical, radiologic, and pathologic evaluation. (C) 1994 John Wiley & Sons, Inc.