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[Synchronous osteochondroid hamartoma and squamous cell carcinoma of the larynx]
F J Cervera-Paz1, G Toledo, A I Nicolás
1Departamento de ORL, Clínica Universitaria, Universidad de Navarra, Pamplona, España. jcervera@unav.es
Background:
Soft-tissue tumors of the larynx are rare, especially hamartomas. Fewer than a dozen well-documented cases have been described. We report the case of a 65 year-old man diagnosed of a synchronous epithelial tumor of the right vocal fold and a soft-tissue tumor of the contralateral lamina of the thyroid cartilage.
Methods:
CT scan revealed a low-attenuating, expansive mass involving the left ala of the thyroid cartilage without airway compromise airway. The lesion contained small, scattered calcifications and the mucosa was intact, suggesting a cartilaginous tumor. The patient underwent endoscopic resection of the right vocal fold tumor and subtotal resection of the left ala of the thyroid via median thyrotomy.
Results:
Pathology revealed a squamous-cell carcinoma of the vocal fold and an osteochondroid hamartoma within the thyroid cartilage. The management of patients with laryngeal lesions suggestive of a cartilaginous nature is discussed.
Conclusions:
To our knowledge, this is the first case of a synchronous laryngeal hamartoma and carcinoma reported in the literature.