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[Chondrosarcoma of the cricoid]
J Miloundja1, E Lescanne, G Garand
1Service d'ORL et de Chirurgie Cervico-Faciale, Hôpital Bretonneau, CHU de Tours, 2 boulevard Tonnellé 37044 Tours Cedex 1.
Summary
Surgical management for laryngeal chondrosarcoma depends on tumor grade and extension. Partial surgery suits low-grade tumors, while total laryngectomy is for high-grade or extensive cancers.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Laryngeal Neoplasms
Background:
- Laryngeal chondrosarcoma is a rare tumor, typically affecting the cricoid cartilage.
- Determining optimal surgical intervention based on tumor characteristics is crucial.
Observation:
- A retrospective study analyzed four patients (three male, one female) with cricoid chondrosarcoma treated between 1990 and 2003.
- Tumor grades included three Grade I and one Grade II.
- Treatment modalities comprised thyrotomy (n=2), total laryngectomy (n=1), and laser debulking (n=1).
Findings:
- Total laryngectomy resulted in a five-year complete remission.
- Thyrotomy led to recurrence in one of two patients, necessitating further surgery.
- Laser debulking achieved clinical stabilization for twelve months.
Implications:
- Computed tomography and histological grading are essential for selecting appropriate surgical procedures.
- Partial laryngeal surgery is recommended for small, low-grade chondrosarcomas.
- Total laryngectomy is indicated for large or high-grade tumors; laser debulking offers stabilization when surgery is refused.