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01.02.2016 | case report | Ausgabe 3-4/2016

Wiener klinische Wochenschrift 3-4/2016

Acute dyspnea caused by a giant spindle cell lipoma of the larynx

Wiener klinische Wochenschrift > Ausgabe 3-4/2016
MD Astrid Wolf-Magele, MD Johannes Schnabl, MD Christoph Url, MD Roland Sedivy, MD Georg Mathias Sprinzl



The spindle cell lipoma (SCL) is a special type of lipoma and this is very rare in the head and neck regions. There are only five reported cases exist, which describes the occurrence of a SCL in the hypopharynx.


Our case report presents a case of a very large SCL in the larynx. We want to describe that how we treated the patients and compared the situation with other reported cases.


Intraoperatively, we found a tumor mass of 7 × 5 cm. It was successfully removed with the carbon dioxide laser. No postoperative complications occurred.


Although SCL is a very rare diagnosis in the larynx/hypopharynx, it should be included in the differential diagnosis of larynx/hypopharynx tumors. Our case is the first report of such a large SCL in the larynx. The clinical symptoms occurred relatively late and ended up in an acute situation of stridor and dyspnea.

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