Chondrosarcoma of the Larynx: A Therapeutic Challenge
| Autor: | Shai Shinhar, Yoram Rappaport, Daniel Zik, Jelena Issakov |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Larynx
medicine.medical_specialty Laryngoscopy Chondrosarcoma Tracheostomy otorhinolaryngologic diseases medicine Paralysis Deformity Humans Laryngeal Neoplasms medicine.diagnostic_test business.industry Left vocal fold Vocal fold paralysis Middle Aged medicine.disease Surgery medicine.anatomical_structure Otorhinolaryngology Female Histopathology medicine.symptom business |
| Zdroj: | Ear, Nose & Throat Journal. 80:568-574 |
| ISSN: | 1942-7522 0145-5613 |
| DOI: | 10.1177/014556130108000820 |
| Popis: | The diagnosis of laryngeal chondrosarcoma is likely to be missed because of its infrequent occurrence and its indolent pattern of growth. A 53-year-old woman came to our service with an 18-year history of hoarseness and increasing dyspnea. She had been previously documented as having left vocal fold paralysis and a bulging laryngeal mass. Computed tomography revealed the presence of a large calcified tumor that had caused a deformity of the larynx and an erosion of the arytenoid and cricoid cartilages. Direct laryngoscopy detected a large supraglottic mass with a normal-appearing mucosa. Total excision of the tumor was achieved through a lateral neck incision that spared the larynx. This case emphasizes the importance of a high index of suspicion for laryngeal chondrosarcoma in a patient who has unexplained vocal fold paralysis and a submucosal subglottic mass. Every effort should be made to take a conservative surgical approach that preserves laryngeal function when possible. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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