Sonia Regina Coelho

Inflammatory myofibroblastic tumor in the larynx

inflammatory myofibroblastic pseudotumors were initially described in the lung, only then to be identified in various extrapulmonary sites. in the head and neck, this disease is more frequently found in the paranasal sinuses, and has already been described in the orbits, palatine tonsils, ears, gingiva, pterygomaxillary space, and periodontal tissues. it will rarely involve the larynx. only twenty-two cases of inflammatory myofibroblastic pseudotumor in the larynx have been described in the indexed literature. this paper aims to describe a rare case of laryngeal inflammatory myofibroblastic pseudotumor and discuss its diagnostic and therapeutic aspects.

Benign nasopharyngeal teratoma in an adult patient.

V.S., 35 years, female, presented unilateral nasal obstruction since chil-dhood. Video-nasofibroscopy showed a pedicled oval-shaped mass in the pha-ryngeal ostium of the Eustachian Tube, obstruction about 60% of her nasopharynx. Paranasal sinuses CT scan presented a mass in her left nasopharynx (Figure 1a).The patient was submitted to en-doscopic surgery under local anesthesia, with lesion exeresis after pedicle identifica-tion and resection (Figure 1b). The tumor removed measured 4x3x2cm, similar to fat tissue at touch and with smooth surface. The pathology exam reported a benign mature teratoma of the nasopharynx.The patient is being followed up in our outpatient ward for 7 months now, without recurrence of the lesion or respi-ratory symptoms.