Výskyt leiomyosarkomu je v hrtanu velmi vzácný. Predisponující faktory vzniku tohto nádoru se stejně jako léčba odlišují od karcinomů ORL oblasti. Autoři popisují kazuistiku 72letého pacienta s respirační insuficiencí, u kterého byl tento vzácný typ nádoru prokázán. Na základě literárních odkazů autoři shrnují principy diagnostiky a léčby leiomyosarkomu. KLÍČOVÁ SLOVA: leiomyosarkom, nádor hrtanu, chrapot, dušnost

Mesenchymal tumors, the group where leiomyosarcoma belongs are very rare tumors of larynx. In this article we report a case of 72 - year old male, admitted to our department with hoarseness and stridor. After the management of respiratory distress – tracheostomy and further diagnostic – an obturating leiomyosarcoma of larynx was discovered, patient underwent total laryngectomy without any subsequent other treatment. Because of lack information about this tumor, there is no optimal therapy management known.

• MeSH
• chrapot MeSH
• dyspnoe MeSH
• laryngektomie MeSH
• leiomyosarkom * diagnóza   chirurgie   patologie   MeSH
• lidé MeSH
• nádory hrtanu * diagnóza   chirurgie   patologie   MeSH
• počítačová rentgenová tomografie MeSH
• senioři MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• senioři MeSH
• Publikační typ
• kazuistiky MeSH

A 14-year-old girl was referred to our department with a 3-month history of an asymptomatic swelling in the left cervical triangle. The girl, an active ski jumper, was used to carrying her skis on the left shoulder. There was a history of many minor falls and contusions of her body. The left posterior cervical triangle was enlarged by an elastic, partially fluctuating and clearly delineated swelling with 4-6 cm in diameter. The trapezius was elevated and the overlaying skin was intact. It was clear that the mass was spreading infraclavicularly. Nevertheless, the distal boundaries of the mass were not quite clear (Fig. 1). The infraclavicular spreading was confirmed with an ultrasound examination which revealed a hypoechogenic echo-free mass of the size of 7-10 x 3.6 cm. The mass was sonocompressible, clearly outlined and there were no signs of any infiltrating growth. No internal perfusion was found by colour-coded Doppler investigation. The blood count or biochemical tests did not reveal any pathological findings.

• MeSH
• cysty patologie   ultrasonografie   MeSH
• diferenciální diagnóza MeSH
• klíční kost MeSH
• krk patologie   ultrasonografie   MeSH
• lidé MeSH
• mladiství MeSH
• Check Tag
• lidé MeSH
• mladiství MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• kazuistiky MeSH