Abstract
This paper presents a case of spindle cell lipoma of the larynx which is a very rare condition. The patient was a 68-year-old man who had been suffering from progressive hoarseness. A flexible fiber-scopic examination demonstrated a spherical protrusion covered by intact mucosa at the right vestibular fold. CT scan examination showed a large, low density mass medial to the thyroid cartilage. The mass was surgically removed by means of the laryngofissure technique. A light micro-scopic examination of the surgical specimen revealed mature lipocytes and spindle cells. Under electron micro-scopic observations the spindle cells contained a prominent rough endoplasmic reticulum and they lacked a typical basal lamina. The histological diagnosis was spindle cell lipoma. This condition occurs most frequently in the subcutaneous tissue of the shoulder and the posterior aspect of the neck. To the best of our knowledge, this case is the first reported case of spindle cell lipoma of the larynx.
