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Laryngeal Paraganglioma with Neck Metastasis.
Satish Chandra Tripuraneni1, Sameera Gera1, Anila Patibandla2
1Department of Otorhinolaryngology and Head and Neck Surgery, DR. PSIMS & RF, Chinnavutaplli, Gannavaram, Andhra Pradesh India.
Summary
Malignant laryngeal paragangliomas are rare tumors. This case highlights successful surgical excision and chemotherapy for a recurrent case with metastasis, preserving laryngeal function.
Area of Science:
- Oncology
- Head and Neck Surgery
- Pathology
Background:
- Paragangliomas are rare neuroendocrine tumors originating from neural crest cells.
- Laryngeal paragangliomas represent a small subset of head and neck neoplasms.
- Malignant variants with metastasis are exceptionally uncommon.
Purpose of the Study:
- To report a rare case of recurrent laryngeal paraganglioma with metastasis.
- To describe the management and treatment of this rare entity.
- To emphasize the importance of surgical preservation of laryngeal function.
Main Methods:
- Surgical excision of the laryngeal mass via lateral pharyngotomy.
- Comprehensive neck dissection for metastatic disease.
- Adjuvant chemotherapy following surgical intervention.
Main Results:
- Complete surgical excision of the recurrent laryngeal paraganglioma and metastatic neck disease was achieved.
- The patient underwent successful lateral pharyngotomy and neck dissection.
- Post-operative chemotherapy was administered.
Conclusions:
- Complete surgical excision combined with neck dissection and chemotherapy can be an effective treatment for recurrent laryngeal paraganglioma with metastasis.
- Maximum preservation of laryngeal function is a critical aspect of surgical management.
- This case underscores the rarity and challenging nature of managing malignant laryngeal paragangliomas.
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