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Case Report
A case of an oncocystic laryngeal cyst: A rare pathology
1 Wagga Wagga Base Hospital, Wagga Wagga, NSW, Australia
2 UNSW Sydney, Sydney, Australia
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Madison Boot
27/3 King Street, Newcastle, NSW 2300,
Australia
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Article ID: 100012Z18MB2024
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How to cite this article
Boot M, Lathif A. A case of an oncocystic laryngeal cyst: A rare pathology. J Case Rep Images Otolaryngol 2024;5(2):1–3.ABSTRACT
Introduction: Oncocytic cysts of the larynx are rare benign lesions characterized by slow growth and large polygonal oncocytic cells. They are primarily found in the supraglottic area and ventrals, with a prevalence of 0.5–1% in laryngeal biopsies.
Case Report: A 75-year-old female presented with progressive dysphonia for eight months, with no other significant symptoms. Examination revealed a pedunculated polypoidal mass on the right false vocal cord. Imaging confirmed a well-defined lesion. Microlaryngoscopy and excision biopsy revealed an oncocytic cyst, leading to symptom improvement post-surgery.
Conclusion: Oncocytic cysts are often mistaken for Warthin tumors histologically but lack bilayered oncocytes and lymphoid stroma. They are associated with aging, chronic inflammation, and possibly smoking. Clinical presentation typically includes chronic hoarseness, and management involves local excision and follow-up due to potential recurrence. This case highlights the rare occurrence of oncocytic cysts in the larynx, emphasizing the importance of considering this diagnosis in patients presenting with hoarseness. Proper histological evaluation and management can lead to symptom resolution and favorable outcomes.
Keywords: Dysphonia, Laryngeal neoplasm, Oncocytic cyst, Oncocytes
SUPPORTING INFORMATION
Author Contributions
Madison Boot - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Abdul Lathif - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2024 Madison Boot et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
