Laryngeal leiomyosarcoma in clinical cases of the Otolaryngology Departament in The University Hospital of Krakow

Introduction. Leiomyosarcoma is a malign neoplasm coming from the non-epithelial tissue. It rarely developes in the larynx. 0,5–1% of all of the neoplasm of the larynx is leiomyosarcoma. It usually developes in the age of 40–70 and mostly effects men. Aims: Improvement of the therapy of patients with leiomyosarcoma of the larynx. Material and metods. The analysis of the medical documentation of the 5 patients with the diagonosis of leiomyosarcoma laryngis treated in Otorhinolaryngologic Clinic UJ in 1996–2006 was performed. The procedures and effects of the therapy were analized. Results. In this particular period of time 11 patients was operated because of the sarcoma of the larynx. In this group there were 5 cases of leiomyosarcoma, 4 cases of chodrosarcoma and 1 case of agniomyxofibrosarcoma and 1 case of sarcomy synoviale. Conclusions. On the basis of the material of the Clinic the frequency of these tumors was estimated and the therapeutic procedure including widening of the surgical indications for the partial laryngectomy and narrowing the indications for nodular surgery of the neck was proposed.