Preprint Case Report Version 1 Preserved in Portico This version is not peer-reviewed

A Rare Case of Angioleiomyoma of the Tongue Base Treated with Transoral Robotic Surgery: Case Report and Review of Literature.

Version 1 : Received: 6 December 2023 / Approved: 6 December 2023 / Online: 7 December 2023 (03:14:00 CET)

How to cite: Cambi, C.; Fiacchini, G.; Angiocchi, Y.; Vianini, M.; Seccia, V.; Dallan, I. A Rare Case of Angioleiomyoma of the Tongue Base Treated with Transoral Robotic Surgery: Case Report and Review of Literature.. Preprints 2023, 2023120445. https://doi.org/10.20944/preprints202312.0445.v1 Cambi, C.; Fiacchini, G.; Angiocchi, Y.; Vianini, M.; Seccia, V.; Dallan, I. A Rare Case of Angioleiomyoma of the Tongue Base Treated with Transoral Robotic Surgery: Case Report and Review of Literature.. Preprints 2023, 2023120445. https://doi.org/10.20944/preprints202312.0445.v1

Abstract

Abstract. Leiomyoma is a benign tumour of smooth muscle cells classified into three groups: solid leiomyoma, angioleiomyoma and leiomyoblastoma. Angioleiomyoma arises from the tunica media of veins and arteries of vascular smooth muscle.Nasal cavity, paranasal sinus and oral cavity are the most frequent locations in Head and Neck region. Here we present the case of a tongue base angioleiomyoma with an emphasis on clinical data, pathologic findings and surgical approach. The patient complained about a one-month of globus sensation, dysphagia and hemoptysis without other systemic symptoms. Laryngoscopy revealed the presence of a 2 cm solitary submucosal mass located on the left tongue base covered with normal mucosa. The patient underwent direct laryngoscopy to perform a biopsy for the purpose of achieving the conclusive diagnosis. Treatment options were discussed, included surgical resection. Transoral robot-assisted resection was performed without complications. Clearly the description of our case does not want to have a purpose in terms of indications but wants to describe the possibility of considering TORS in the case of benign tumours of the tongue base, especially in cases like this where a standard technique can difficulty be achieved. Current literature review was provided and discussed.

Keywords

leiomyoma; angioleiomyoma; head & neck; tongue base; laryngoscopy; transoral robotic surgery

Subject

Medicine and Pharmacology, Otolaryngology

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