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Alveolar soft part sarcoma presenting in an unusual laryngeal location
  1. Sylvia Jang1,
  2. Anthony Emanuel1,
  3. Mitchell Worley2 and
  4. Mary Richardson1
  1. 1Department of Pathology and Laboratory Medicine, Medical University of South Carolina, Charleston, South Carolina, USA
  2. 2Department of Otolaryngology - Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA
  1. Correspondence to Ms Sylvia Jang; sylviajjj{at}


Alveolar soft part sarcoma (ASPS) is a rare malignant neoplasm that tends to occur in the deep soft tissues of both adults and children. ASPS has a progressive clinical course that is unfortunately characterised by late metastases and an overall poor prognosis. Although the tumour has been reported in a wide range of anatomic sites, few cases of primary laryngeal ASPS are reported in the literature. Here, we report the case of a 24-year-old man with no significant medical history who presented with progressive mild dysphonia and hoarseness. Imaging studies revealed a well-circumscribed, partially cystic submucosal mass with involvement of the right vocal fold and other local structures, and the patient was referred for surgical excision. Morphological and immunohistochemical examination of the excised lesion revealed ASPS. The findings of this case are compared with those of seven additional cases of primary laryngeal ASPS, which were found following literature review.

  • ear
  • nose and throat/otolaryngology
  • head and neck cancer
  • pathology
  • head and neck surgery
  • otolaryngology / ENT

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  • Contributors Manuscript concept by SJ, AE and MR. Patient under the care of MW. All authors contributed in the drafting and editing of this manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer-reviewed.

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