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Mycosis Fungoides of the LarynxReport of Two Cases and Review of the Literature
Jeffery J. Kuhn, MD;
Bruce M. Wenig, MD;
David A. Clark, MD
Arch Otolaryngol Head Neck Surg. 1992;118(8):853-858.
Abstract
• Involvement of the larynx by mycosis fungoides is extremely rare with only three reported clinical cases in the English-language literature. We present two patients with laryngeal mycosis fungoides, one of whom presented with vocal cord paresis (progressing to paralysis) as the initial clinical manifestation of laryngeal involvement. Our clinical findings and the observations from the three previous case reports suggest that laryngeal mycosis fungoides has a predilection for the arytenoids, aryepiglottic folds, and the laryngeal surface of the epiglottis. Laryngeal involvement, like other forms of visceral dissemination, appears to manifest clinically in the terminal stages of the disease. The natural history, clinical features, histopathology, and treatment of mycosis fungoides are reviewed and the etiopathology of the vocal cord paralysis is described.
(Arch Otolaryngol Head Neck Surg. 1992;118:853-858)
Author Affiliations
From the Department of Otolaryngology–Head and Neck Surgery, National Naval Medical Center, Bethesda, Md (Drs Kuhn and Clark); Department of Otolaryngic Pathology, Armed Forces Institute of Pathology, Washington, DC (Dr Wenig).
Footnotes
Accepted for publication December 20, 1991.
The opinions or assertions contained herein are the private views of the authors and are not to be construed to be official or as reflecting the views of the US Department of the Navy or the US Department of Defense.
Reprint requests to the Department of Otolaryngology–Head and Neck Surgery, Code 0306, National Naval Medical Center, Bethesda, MD 20889-5000 (Dr Kuhn).
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