case_images: PMC5322434_01
case_images: Laryngoscopy showing a pedunculated mass coming from laryngeal inlet.
case_images: CRIOT2017-6134845.001.jpg
case_images: PMC5322434_01_CRIOT2017-6134845.001.jpg
case_images: fig1
case_images: He consulted an ENT surgeon where a fibre optic laryngoscopy showed a pedunculated mass occupying the laryngeal inlet and extending up to base of tongue (Figure 1).
case_images: (a) Plain CT scan of the neck showing soft tissue mass at the region of epiglottis with tiny specks of calcifications in the periphery. (b) Postcontrast image showing heterogenous enhancement.
case_images: CRIOT2017-6134845.002.jpg
case_images: PMC5322434_01_CRIOT2017-6134845.002.jpg
case_images: fig2
case_images: A computed tomogram (CT) showed a well-defined heterogeneously enhancing lesion, 2.7 x 2.0 x 2.6 cm in the laryngeal inlet in the supraglottic compartment, almost filling it (Figures 2(a), 2(b), and 3).
case_images: H&E x40 showing spindle cell sarcoma with hemangiopericytic pattern.
case_images: CRIOT2017-6134845.004.jpg
case_images: PMC5322434_01_CRIOT2017-6134845.004.jpg
case_images: fig4
case_images: Histopathology examination of the biopsy specimen showed spindle cell sarcoma with hemangiopericytic pattern of intermediate grade, which on immunohistochemistry (IHC) was focally positive for cytokeratin and Bcl 2 (Figures 4, 5(a), and 5(b)).
case_images: (a) Section showing focal positivity for cytokeratin. (b) Section showing focal positivity for Bcl 2.
case_images: CRIOT2017-6134845.005.jpg
case_images: PMC5322434_01_CRIOT2017-6134845.005.jpg
case_images: fig5
case_images: Histopathology examination of the biopsy specimen showed spindle cell sarcoma with hemangiopericytic pattern of intermediate grade, which on immunohistochemistry (IHC) was focally positive for cytokeratin and Bcl 2 (Figures 4, 5(a), and 5(b)).