Author/Authors :
Mohd Tahir, J Hospital Sultanah Aminah - Department of Otorhinolaryngology-Head Neck Surgery, Malaysia , Gopalan, KN Lam Wah Ee Hospital - Ear, Nose Throat-Head Neck Consultant Clinic, Malaysia , Marina, MB Universiti Kebangsaan Malaysia - Malaysia Medical Centre - Department of Otorhinolaryngology-Head Neck Surgery, Malaysia , Primuharsa Putra, SHA KPJ Seremban Specialist Hospital - Ear, Nose Throat-Head Neck Consultant Clinic, Malaysia
Abstract :
Kaposi’s sarcoma (KS) is the most common malignancy observed in patient with acquired immune deficiency syndrome (AIDS). It rarely causes upper airway obstruction. We report a 39-year-old gentleman, a former intravenous drug user with AIDS and Hepatitis C positive who developed progressive hoarseness with stidor. He underwent an emergency tracheostomy and direct laryngoscopy revealed a whitish globular laryngeal mass obscuring the glottic region. A biopsy of the mass was taken and the histopathological report showed evidence of spindle cell connective tissue, consistent with Kaposi’s sarcoma. It is important for clinicians or surgeons to maintain a high index of suspicion for the diagnosis of laryngeal KS in immunodeficiency patient even without cutaneous manifestation.
Keywords :
Airway obstruction , Laryngeal , Kaposi’s sarcoma , HIV
