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Chondrosarcoma of the larynx

Published online by Cambridge University Press:  29 June 2007

Venkata N. Koka
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, American Hospital of Paris, Neuilly, France.
Francois Veber*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, American Hospital of Paris, Neuilly, France.
Jean-Francois Haguet
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, American Hospital of Paris, Neuilly, France.
Oliver Rachinel
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, American Hospital of Paris, Neuilly, France.
Charles Freche
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, American Hospital of Paris, Neuilly, France.
Marie-Dominique Liguory-Brunaud
Affiliation:
Department of Pathology, American Hospital of Paris, Neuilly, France.
*
Address for correspondence: Dr F. Veber, Department of ORL and Head and Neck Surgery, American Hospital of Paris, 63 Bd Victor Hugo, 92200 Neuilly, France.

Abstract

A case of a low grade chondrosarcoma of the cricoid cartilage which had been diagnosed intially as a chondroma is presented. The tumour reurred twice after limited surgical resections. Total laryngectomy was inecvitable due to near total involvement of the cricoid cartilage and subsequent histological examination revealed a low grade chondrosacroma. We have discussed in brief, the diagnosis and treatment of chondrosarcomas of the larynx and support the view of consecutive surgical managaement of low grade tumours as they are slow growing and metastates are infequent. A total laryngectomy may be reserved for salvage or primarily when more than half of the cricoid cartilage needs to be resected.

Histologicalgrading reveals the biological behaviour of the tumour and CT scans help in planning the surgery. A regular follow-up is necessary for early detection of recurrences and metastases.

Type
Pathology in Focus
Copyright
Copyright © JLO (1984) Limited 1995

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