Case report: Kaposi's sarcoma of the larynx and pharynx
- VernacularTitle:Төвөнх, залгиурын Капошийн саркома
- Author:
Nyamdulam L
1
;
Tamir L
1
;
Tsend-Ayuush A
1
;
Dolgortseren P
1
;
Purevdorj S
1
;
Bilguntur Kh
1
;
Jargalkhuu E
1
,
2
;
Bazarmaa Ts
1
,
2
;
Munkhbaatar P
1
,
2
;
Sayamaa L
3
;
Shijirtuya B
4
;
Khulan Kh
4
;
Amina G
4
;
Bayarmaa T
4
Author Information
1. Department of Otolaryngology, Mongolia-Japan hospital, MNUMS
2. Department of Otolaryngology, School of medicine, MNUMS
3. Department of Pathology, Mongolia-Japan hospital, MNUMS
4. Postgraduate training institute, MNUMS
- Publication Type:Case Reports
- Keywords:
Microlaryngealsurgery, laryngopharyngeal tumor, immunosuppressed, human herpesvirus-8
- From:
Mongolian Journal of Health Sciences
2025;87(3):29-34
- CountryMongolia
- Language:Mongolian
-
Abstract:
Background:A rare angioproliferative condition of the larynx, Kaposhi sarcoma
typically affects the skin. Immunosuppressive treatment following organ
transplantation and human immunodeficiency virus infection are the causes.
Every type of Kaposi sarcoma has human herpesvirus-8. Laryngeal kaposi
sarcoma is uncommon in immunocompromised patients; since its initial identification
in 1965, 18 cases have been documented globally. A CO2 laser-assisted
laryngeal microsurgery is performed through the mouth cavity to remove
tumor when kaposi sarcoma of the larynx obstructs the airway. Case report: A
77-year-old woman complained of hoarseness, dry mouth, odynophagia, and
dysphagia three months prior when she arrived at the Mongolian-Japan Hospital.
Two years ago, she acquired hard, sensitive lumps that were palpable
on her right arm, left ankle, and right thigh. At that time, she was diagnosed
with Kaposiform hemangiodermatitis and treated at the National Center for
Dermatology. HIV test results were negative. Immunohistochemistry: CD31
+/-, CD34 /+/. Using flexible nasopharyngeal endoscopy to get the diagnosis:
There was a mass that was about 1.5–2–5 cm in diameter, bluish in color,
smooth and movable, and spongy and vascular on the larynx, on the nasopharynx,
behind the palatine tonsills, and supraglottic. Surgery: Through the
use of Kleinsasser laryngoscopy and a 0-degree endoscope, pathological tissues
were extracted under general anesthesia using a laryngeal microsurgical
instrument and a laparoscopic bipolar coagulator. The tissues were then sent
for histological evaluation, which revealed Kaposi sarcoma, sarcoma grade 1.
Results of treatment:Pain decreased and quality of life increased following
surgery. Upon nasopharyngeal endoscopy, the vocal cord mobility was normal
and the surgical incision was clean. Conclusion: Kaposi sarcoma is an
extremely uncommon illness. A lower quality of life and further issues can be
avoided with an early diagnosis and suitable therapy. It also needs to be continuously
monitored because it is a potentially repeatable disease.
- Full text:202505232031354208129-34.pdf
