Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2025, Vol. 39 ›› Issue (6): 133-137.doi: 10.6040/j.issn.1673-3770.0.2024.146

• Original Article • Previous Articles    

Larynx fibrosarcoma: a case report and literature review

LIU Yuzhu1, CHEN Yao1, YUAN Tiejun1, LI Chunsen2, LI Bo3   

  1. 1. Department of Otolaryngology, Weifang People's Hospital, Weifang 261044, Shandong, China 2. Department of Pathology, Weifang People's Hospital, Weifang 261044, Shandong, China 3. Department of Integrative Traditional and Western Medicine Rehabilitation, Weifang Yidu Central Hospital, Weifang 262500, Shandong, China
  • Published:2025-11-19

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Abstract: Objective To review the clinical manifestations, pathological features, treatment and prognosis of laryngeal fibrosarcoma. Methods The clinical data of a case of laryngeal fibrosarcoma were reviewed and the relevant literature was reviewed. Results Laryngeal fibrosarcoma should be distinguished from vocal cord(or ventricular)polyps and its diagnosis is mainly based on pathological examination. Treatment consists mainly of surgery + radiotherapy. Conclusion The standard of care for laryngeal fibrosarcoma is still unclear, and the boundaries of safe surgical resection margins need to be further explored. Radiotherapy helps to improve the prognosis of patients. For early T1 or T2 laryngeal fibrosarcoma, it is not advisable to blindly extend the resection area under the premise of ensuring a negative resection margin and preserving some laryngeal function. Routine dissection of cervical lymph nodes is not recommended. In patients with suspected cervical lymph node metastasis on imaging, the ipsilateral II-IV lymph nodes may be dissected and sent for intraoperative freezing, and the contralateral cervical lymph nodes may be reserved as appropriate.

Key words: Laryngeal fibrosarcoma, Surgical treatment, Prognosis

CLC Number: 

  • R767
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