Two Cases with Laryngeal Hemangioma

Abstract

Two cases with laryngeal hemangioma are reported.
Case 1 is a housewife of 63 years who had been complaining of hoarseness for five months. Hoarseness, which was at first intermittent and then became continuous, gradually worsened and was associated with slight dyspnea. An index finger-tip sized red tumor was noted on the anterior aspect of the left vocal cord. This tumor was removed with laryngofissure after Co60 therapy (6000 rad). The section showed cavernous hemangioma.
Case 2 is a female of 9 years who had complained of aphonia with a slight degree of dyspnea for one month. The pedunculated tumor, ulcerated partially, was located between the anterior and middle thirds of the vocal cord. The tumor was removed with laryngomicrosurgery. The section showed hemangioma simplex. A review of literature in Japan revealed 32 cases with hemangioma of the larynx. Hemangioma of the larynx may be classified clinically into two groups: adult type and infact type.
The incidence of the adult type hemangioma is greater than that to the infant type. There is no difference in frequency between male and female. Main subjective symptoms are hoarseness and dyspnea. The 24 hemangiomas with detailed pathological descriptions were subclassified as follows: hemangioma simplex (12 cases), cavernous hemangioma (9 cases), hypertrophic (2 cases) and hemangioblastoma (1 case).