Endoscopic CO2 laser surgery for an atypical carcinoid tumor of the epiglottis masquerading as a supraglottic cyst
✍ Scribed by Kai-Ping Chang; Li-Yu Lee; Albert Re-Ming Yeh; Tsung-Sung Dai; Sheng-Po Hao
- Publisher
- John Wiley and Sons
- Year
- 2005
- Tongue
- English
- Weight
- 188 KB
- Volume
- 27
- Category
- Article
- ISSN
- 1043-3074
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✦ Synopsis
Background:
Atypical carcinoid tumor is a neuroendocrine tumor; its occurrence in the larynx is uncommon, and clinical manifestations are rare. we report an unusual case of atypical carcinoid tumor of the epiglottis mimicking a supraglottic retention cyst.
Methods:
A 44-year-old woman complained of an intermittent globus sensation of the throat of 2 years' duration. a 1.0- x 0.8-cm cystic lesion was found over the tip of the epiglottis. a supraglottic retention cyst was initially diagnosed, and the patient was treated medically. her symptoms persisted, so we performed a laryngoscopic biopsy, which suggested an atypical carcinoid tumor.
Results:
Transoral endoscopic co2 laser surgery and bilateral elective neck dissection were subsequently performed. the 2-year follow-up did not reveal any locoregional recurrence or distant metastasis.
Conclusions:
This aggressive neoplasm may cause only a few, unremarkable symptoms and masquerade as a supraglottic cyst. endoscopic co2 laser surgery can be used to resect this uncommon tumor, with oncologically sound results and without surgical morbidity.