PMC5322434_01
Laryngoscopy showing a pedunculated mass coming from laryngeal inlet.
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fig1
He consulted an ENT surgeon where a fibre optic laryngoscopy showed a pedunculated mass occupying the laryngeal inlet and extending up to base of tongue (Figure 1).
(a) Plain CT scan of the neck showing soft tissue mass at the region of epiglottis with tiny specks of calcifications in the periphery. (b) Postcontrast image showing heterogenous enhancement.
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fig2
A computed tomogram (CT) showed a well-defined heterogeneously enhancing lesion, 2.7 x 2.0 x 2.6 cm in the laryngeal inlet in the supraglottic compartment, almost filling it (Figures 2(a), 2(b), and 3).
H&E x40 showing spindle cell sarcoma with hemangiopericytic pattern.
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fig4
Histopathology examination of the biopsy specimen showed spindle cell sarcoma with hemangiopericytic pattern of intermediate grade, which on immunohistochemistry (IHC) was focally positive for cytokeratin and Bcl 2 (Figures 4, 5(a), and 5(b)).
(a) Section showing focal positivity for cytokeratin. (b) Section showing focal positivity for Bcl 2.
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fig5
Histopathology examination of the biopsy specimen showed spindle cell sarcoma with hemangiopericytic pattern of intermediate grade, which on immunohistochemistry (IHC) was focally positive for cytokeratin and Bcl 2 (Figures 4, 5(a), and 5(b)).