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  Vol. 130 No. 7, July 2004 TABLE OF CONTENTS
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  Clinical Problem Solving: Pathology
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 •Neoplasms of Head & Neck
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Pathology Quiz Case 2—Diagnosis

Arch Otolaryngol Head Neck Surg. 2004;130:890-891.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Diagnosis: Angiomyoma of the larynx

Angiomyomas, or angioleiomyomas, are a vascular subtype of leiomyomas or benign smooth muscle tumors. The majority of these tumors occur in the extremities, typically as a slow-growing, firm, sometimes painful mass of the subcutis or deep dermis. The incidence of angiomyoma in the head and neck region is quite low. In a series of 562 cases, only 8.5% of angioleiomyomas were found in the head and neck region.1 Sites of occurrence that have been reported in the head and neck include the oral cavity, lower lip, auricle, submandibular region, nasal cavity, and mandible.2-4 Angiomyoma of the larynx has been reported but is exceedingly rare.5-7

Clinically, laryngeal angiomyomas can present with hoarseness, dyspnea, or globus sensation, as in our case. Pain and/or dysphagia are uncommon symptoms. Laryngeal angiomyomas are most commonly found in middle-aged and elderly men.7 They are highly vascular and can bleed significantly at biopsy. Reported tumor locations have . . . [Full Text of this Article]



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