Citation Information :
Nerurkar N K, Jahnavi, Kukreja EM. Recurrent Inflammatory Myofibroblastic Tumor of the Larynx: Presentation and Management. Int J Phonosurg Laryngol 2024; 14 (1):16-18.
Background: Inflammatory myofibroblastic tumor (IMT) is an uncommon lesion that usually involves the lungs and mostly affects young adults. Head and neck IMTs account for 14–18%. These benign tumors are locally aggressive; hence, an accurate diagnosis is vital for the treatment plan.
Case description: A young male presented with hoarse voice for 9 months with a history of three previous laryngeal surgeries. Stroboscopy revealed a multilobulated vascular lesion, attached to the left vocal process. Laser-assisted wide excision of the lesion with an adjuvant treatment of botulinum toxin injection was performed. Histopathology revealed spindle cell tumor, immunohistochemistry was suggestive of myoepithelioma. On 6-month postoperative follow-up, stroboscopy revealed good healing.
Conclusion: Laryngeal IMTs have a tendency to recur unless excised with a wide margin. Histopathology along with immunohistochemistry is essential for diagnosis. Tumors attached to the vocal process may benefit from botulinum toxin injection. The patient is advised for a close and prolonged follow-up.
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