A Wolf in Sheep's Clothing: Laryngeal Myxoma Masquerading as a Vocal Cord Polyp.
Ashwini Sonawane, Mangesh Londhe, Shivani Dhondge
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Case in brief
A 19-year-old woman presented with one month of hoarseness. Laryngoscopy showed a small polypoid vocal-cord lesion, which was surgically removed. Histopathology revealed sparse spindle-shaped cells in abundant myxoid stroma, without atypia or mitotic activity, establishing laryngeal myxoma. Complete excision was curative, with no recurrence reported during follow-up.
What made this case unusual
The myxoma appeared clinically and laryngoscopically like a vocal-cord polyp, making histopathology necessary to identify the lesion.
Diagnostic / clinical pearl
A polypoid vocal-cord appearance does not establish the lesion’s histology; examination of the excised tissue can distinguish a laryngeal myxoma from a polyp.