CONCURRENT INCIDENCE OF ISOLATED LARYNGEA L SARCOIDOSIS AND LARYNGEALCARCINOMA

Isolated sarcoidosis is quite rare, causing non-specific symptoms and possibly not diagnosed because of the large number of other entities w ith similar presentations. We report the problems of diagnosis of isol ated laryngeal sarcoidosis following a localized carcinoma. A 66-year- old patient was seen in the Westpfalz ENT Department after a Le Roux-R obert fronto-latera laryngeal resection for a pT1a NO MO vocal cord ca rcinoma following progressue dyspnea. Laryngoscopy showed laryngeal st enosis due to a neoplastic lesion. However,an epitheloid granulomatosi s was found on histopathology with no evidence for recurrent carcinoma . After exclusion of other processes and systemic disease,the diagnosi s of isolated laryngeal sarcoidosis was made and long-term corticoid m edication was administered, resulting in a rapid regression of the lar yngeal stenosis.