Recurrent vascular leiomyoma of the larynx: clinical and histopathologic characteristics and treatment.

Laryngeal vascular leiomyomas are uncommon benign tumors that seldom recur following complete excision. The choice of excision procedure—via direct laryngoscopy or an open approach—is dictated by tumor size, the expected amount of blood loss, and any comorbidities the patient may have. We reportan unusual case of a recurrent laryngeal vascular leiomyoma in a 64-year-old woman who also had a concurrent parathyroid adenoma and a history of breast carcinoma. A surgical resection via an external approach along with laser resection of a small glottic component was needed.