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Chondrosarcoma of the larynx
V N Koka1, F Veber, J F Haguet
1Department of Otolaryngology and Head and Neck Surgery, American Hospital of Paris, Neuilly, France.
The Journal of Laryngology and Otology
|February 1, 1995
Summary
This case highlights a low-grade chondrosarcoma of the cricoid cartilage initially misdiagnosed as chondroma. Conservative surgical management is advised for low-grade laryngeal chondrosarcomas due to slow growth and infrequent metastasis.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Pathology
Background:
- Chondrosarcomas of the larynx are rare tumors.
- Accurate initial diagnosis is crucial for appropriate management.
- Low-grade chondrosarcomas can mimic benign chondromas.
Observation:
- A case of recurrent low-grade chondrosarcoma of the cricoid cartilage is presented.
- Initial diagnosis was chondroma, with recurrence after two limited resections.
- Near-total cricoid cartilage involvement necessitated total laryngectomy.
Findings:
- Histological examination confirmed low-grade chondrosarcoma.
- Conservative surgical management is supported for low-grade laryngeal chondrosarcomas.
- Total laryngectomy is reserved for salvage or extensive cartilage resection.
Implications:
- Histological grading is vital for predicting tumor behavior.
- CT scans aid in surgical planning for laryngeal chondrosarcoma.
- Regular follow-up is essential for early detection of recurrence or metastasis.