We present a case of dedifferentiated chondrosarcoma of the larynx in which the dedifferentiated component was initially diagnosed by fine-needle aspiration (FNA). The patient was a 74-yr-old man who presented with difficulty breathing and an anterior neck mass. A CT scan demonstrated a 4.5-cm carti
Chondrosarcoma of the larynx: Challenges in diagnosis and management
β Scribed by Dr. Charles J. Bogdan; Dr. Anthony J. Maniglia; Dr. Isaac Eliachar; Dr. Robert L. Katz
- Publisher
- John Wiley and Sons
- Year
- 1994
- Tongue
- English
- Weight
- 673 KB
- Volume
- 16
- Category
- Article
- ISSN
- 1043-3074
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β¦ Synopsis
Abstract
Chondrosarcoma is a rare neoplasm of the larynx with approximately 200 cases reported in the literature. The infrequent occurrence of this neoplasm, and its indolent pattern of growth, can result in a delayed or missed diagnosis, thereby jeopardizing the preservation of laryngeal function. Four cases of chondrosarcoma of the larynx are presented demonstrating the challenges in the diagnosis and management of this neoplasm. Conservation surgery remains the mainstay of therapy aiming towards preservation of the framework and function of the larynx. Two innovative reconstructive techniques are presented which made conservation laryngeal surgery possible in two of the four patients. Indeed, surgical resection with sound oncologic principles must be applied and total laryngectomy may be necessary. On rare occasion radiotherapy may be used, although its value remains controversial. Β© 1994 John Wiley & Sons, Inc.
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