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Print ISSN: 1792-0981 Online ISSN: 1792-1015
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January-2026 Volume 31 Issue 1

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Case Report Open Access

Primary epithelioid angiomatous nodule of the vocal cord: A case report and literature review

  • Authors:
    • Keda Li
    • Bin Huang
    • Lubing Cai
    • Mingqi Huang
    • Jianping Shi
    • Mingdi Jin
    • Ning Qian
    • Yongkang Guo
  • View Affiliations / Copyright

    Affiliations: Department of Ear, Nose and Throat, The First People's Hospital of Xiaoshan District, Hangzhou, Zhejiang 311200, P.R. China, Department of Pathology, The First People's Hospital of Xiaoshan District, Hangzhou, Zhejiang 311200, P.R. China, Department of Traditional Chinese Medicine, Faculty of Chinese Medical Science, Guangxi University of Chinese Medicine, Nanning, Guangxi Zhuang Autonomous Region 530222, P.R. China, Department of Anorectal Surgery, The First People's Hospital of Xiaoshan District, Hangzhou, Zhejiang 311200, P.R. China, Department of Pathology, Τhe Traditional Chinese Medicine Hospital of Xiaoshan District, Hangzhou, Zhejiang 311200, P.R. China
    Copyright: © Li et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 13
    |
    Published online on: October 29, 2025
       https://doi.org/10.3892/etm.2025.13008
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Abstract

A primary epithelioid angiomatous nodule (EAN) of the vocal cord is a rare vascular endothelial cell‑derived lesion. The present study describes the clinical, histopathological and immunohistochemical characteristics of a 31‑year‑old male patient with EAN of the vocal cord and reviews the relevant literature. The patient complained of recurrent hoarseness for over a month. A fiber laryngoscopy revealed a red polypoid mass on the left vocal cord. Post‑surgical resection, the microscopic examination revealed clear tumor boundaries, a solid arrangement of epithelioid tumor cells, obvious nucleoli, vacuolated nuclei, eosinophilic or clear cytoplasm, no mitotic figures and scant inflammatory cell infiltration. The immunohistochemical results also showed positivity for CD34 and CD31 in the tumor cells. Fluorescence in situ hybridization excluded calmodulin‑binding transcription activator 1 rearrangement. The patient was followed up for 6 months and no recurrence was found. However, close follow‑up is necessary in this case due to a positive surgical margin.
View Figures

Figure 1

Red polypoid mass on the left vocal
cord.

Figure 2

Pathological analysis of the tumor
showing (A) solid flaky hyperplasia with a clear boundary
(magnification, x100; scale bar, 200 µm; hematoxylin and eosin
staining), (B) clearly visible tumor cell nucleoli (green arrow)
and initial vascular lumina (yellow arrow) established in the
region (magnification, x400; scale bar, 50 µm; hematoxylin and
eosin staining), and (C) vacuolated tumor cell nuclei (green arrow)
with partially clear cytoplasm (yellow arrow) (magnification, x400;
scale bar, 50 µm; hematoxylin and eosin staining).

Figure 3

Immunohistochemical analysis showing
tumor cells expressing (A) CD31 positivity (magnification, x200;
scale bar, 100 µm) and (B) CD34 positivity (magnification, x200;
scale bar, 100 µm).

Figure 4

(A-E) Immunohistochemical analysis
showing tumor cells with a lack of expression for cytokeratin,
epithelial membrane antigen, desmin, transcription factor E3 and
smooth muscle actin (magnification, x100; scale bar, 200 µm).
View References

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Copy and paste a formatted citation
Spandidos Publications style
Li K, Huang B, Cai L, Huang M, Shi J, Jin M, Qian N and Guo Y: Primary epithelioid angiomatous nodule of the vocal cord: A case report and literature review. Exp Ther Med 31: 13, 2026.
APA
Li, K., Huang, B., Cai, L., Huang, M., Shi, J., Jin, M. ... Guo, Y. (2026). Primary epithelioid angiomatous nodule of the vocal cord: A case report and literature review. Experimental and Therapeutic Medicine, 31, 13. https://doi.org/10.3892/etm.2025.13008
MLA
Li, K., Huang, B., Cai, L., Huang, M., Shi, J., Jin, M., Qian, N., Guo, Y."Primary epithelioid angiomatous nodule of the vocal cord: A case report and literature review". Experimental and Therapeutic Medicine 31.1 (2026): 13.
Chicago
Li, K., Huang, B., Cai, L., Huang, M., Shi, J., Jin, M., Qian, N., Guo, Y."Primary epithelioid angiomatous nodule of the vocal cord: A case report and literature review". Experimental and Therapeutic Medicine 31, no. 1 (2026): 13. https://doi.org/10.3892/etm.2025.13008
Copy and paste a formatted citation
x
Spandidos Publications style
Li K, Huang B, Cai L, Huang M, Shi J, Jin M, Qian N and Guo Y: Primary epithelioid angiomatous nodule of the vocal cord: A case report and literature review. Exp Ther Med 31: 13, 2026.
APA
Li, K., Huang, B., Cai, L., Huang, M., Shi, J., Jin, M. ... Guo, Y. (2026). Primary epithelioid angiomatous nodule of the vocal cord: A case report and literature review. Experimental and Therapeutic Medicine, 31, 13. https://doi.org/10.3892/etm.2025.13008
MLA
Li, K., Huang, B., Cai, L., Huang, M., Shi, J., Jin, M., Qian, N., Guo, Y."Primary epithelioid angiomatous nodule of the vocal cord: A case report and literature review". Experimental and Therapeutic Medicine 31.1 (2026): 13.
Chicago
Li, K., Huang, B., Cai, L., Huang, M., Shi, J., Jin, M., Qian, N., Guo, Y."Primary epithelioid angiomatous nodule of the vocal cord: A case report and literature review". Experimental and Therapeutic Medicine 31, no. 1 (2026): 13. https://doi.org/10.3892/etm.2025.13008
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