Document Detail


Organ-limited laryngeal amyloid deposits: clinical, morphological, and immunohistochemical results of five cases.
MedLine Citation:
PMID:  1514756     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Five cases of organ-limited laryngeal amyloid deposits with no evidence of systemic disease are reported in detail and classified immunohistochemically. In four of the five cases the amyloid reacted with anti-A lambda antibodies and in one case with anti-A kappa antibodies. Four of our five female patients had already passed the fifth decade of life. One was 11 years old. Hoarseness was the predominant symptom in four cases, in which we found amyloid deposits in the glottic area. Only one patient, with amyloid deposits in the aryepiglottic fold, complained of pain. The therapy of choice of idiopathic, localized, or organ-limited amyloid deposits without underlying disease may be local excision. In one of the cases reported in this paper, a laryngofissure was performed, and in another a partial laser resection was performed. No therapy was performed in three of our five cases. In the larynx, as in many other locations and only if possible, removal at intervals is more feasible than radical resection, because these amyloid tumors grow slowly.
Authors:
G S Godbersen; J F Leh; M L Hansmann; H Rudert; R P Linke
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Annals of otology, rhinology, and laryngology     Volume:  101     ISSN:  0003-4894     ISO Abbreviation:  Ann. Otol. Rhinol. Laryngol.     Publication Date:  1992 Sep 
Date Detail:
Created Date:  1992-10-01     Completed Date:  1992-10-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0407300     Medline TA:  Ann Otol Rhinol Laryngol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  770-5     Citation Subset:  AIM; IM    
Affiliation:
Department of Otorhinolaryngology, University of Kiel, Germany.
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MeSH Terms
Descriptor/Qualifier:
Amyloidosis / classification,  diagnosis*,  pathology
Biopsy
Child
Female
Humans
Immunohistochemistry
Laryngeal Diseases / classification,  diagnosis*,  pathology
Laryngoscopy
Middle Aged
Otolaryngology / methods
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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