RESULTS:
Surgical resection was scheduled by the Otorhinolaryngology Department.
Partial cordectomy was performed with CO2 laser with complete resection
of the lesion with margins up to the muscular plane of the vocal cord,
respecting the anterior commissure. The anatomopathological result of
the surgical specimen was focal mesenchymal proliferation with ALK
expression compatible with myofibroblastic inflammatory tumour (Image 2
and 3). The case was presented to the Head and Neck Tumour Committee of
the hospital, where it was decided to follow it up by the
Otorhinolaryngology Department. During the following months, an area of
surgical sequelae was observed in the area of partial cordectomy of the
right vocal cord with marked fibrosis and granulation, which acquired a
nodular appearance over the months of follow-up. After 6 months of
follow-up, it was decided to perform microsurgery on the larynx to take
a biopsy to rule out recurrence (Image 4). Laryngeal microsurgery was
scheduled, where biopsies were obtained from the nodular fibrotic area
with suspected recurrence. The pathological findings of the biopsies
showed respiratory mucosa, granulation tissue and chronic inflammatory
changes of a non-specific nature. After 8 months of follow-up, there was
no evidence of recurrence. Given the risk of recurrence and metastasis
of this pathology, the Committee decided to continue close follow-up for
at least 12 months as is done in most series published in the
literature.