Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-24T06:08:12.866Z Has data issue: false hasContentIssue false
  • English
  • Français

Endoscopic resection of low grade, subglottic chondrosarcoma

Published online by Cambridge University Press:  01 July 2009

Y Oestreicher-Kedem ,
T G Dray  and
E J Damrose
Y Oestreicher-Kedem*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Stanford University School of Medicine, California, USA
T G Dray
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Kaiser Permanente Medical Center, Santa Clara, California, USA
E J Damrose
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Stanford University School of Medicine, California, USA
*
Address for correspondence: Dr Yael Oestreicher-Kedem, Department of Otolaryngology, Head and Neck Surgery, Stanford Hospital and Clinics, 801 Welch Road, Stanford, CA 94305, USA. Fax: +1 650 725 8502 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Introduction:

This paper evaluates the feasibility of transoral, endoscopic resection of macroscopically localised, low grade, subglottic chondrosarcoma.

Method:

Retrospective case study including patients diagnosed with low grade, subglottic laryngeal chondrosarcoma. Tumours were resected endoscopically via direct laryngoscopy with microlaryngeal technique, under jet ventilation. The post-operative course, vocal fold function, airway patency and oncological results were evaluated.

Results:

Two male patients aged 49 and 60 years underwent endoscopic, translaryngeal, en bloc resection of low grade chondrosarcoma of the cricoid cartilage. Extubation was performed immediately after surgery. Neither patient required tracheostomy or developed subglottic stenosis. No tumour recurrence was noted after an average follow up of 10.5 months. Voice quality was stable and dyspnoea improved.

Summary:

Transoral, endoscopic resection of low grade, subglottic chondrosarcoma is a viable technique with good functional outcomes. Extensive resection of subglottic disease is possible, which may afford patients an alternative to total laryngectomy.

Keywords

Larynx NeoplasmsChondrosarcomaEndoscopy
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 12 , December 2009 , pp. 1364 - 1366
Copyright
Copyright © JLO (1984) Limited 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Presented as a poster at the 2008 Combined Spring Meeting of the American Academy of Otolaryngology Head and Neck Surgery, May, 1–4 2008, Orlando, Florida, USA.

References

1Ferlito, A, Nicolai, P, Montaguti, A, Cecchetto, A, Pennelli, N. Chondrosarcoma of the larynx: review of the literature and report of three cases. Am J Otolaryngol 1984;5:350–9CrossRefGoogle ScholarPubMed
2Kozelsky, TF, Bonner, JA, Foote, RL, Olsen, KD, Kasperbauer, JL, McCaffrey, TV et al. Laryngeal chondrosarcomas: the Mayo Clinic experience. J Surg Oncol 1997;65:269–733.0.CO;2-3>CrossRefGoogle ScholarPubMed
3Rinaldo, A, Howard, DJ, Ferlito, A. Laryngeal chondrosarcoma: 24 year experience at the Royal National Throat, Nose And Ear Hospital. Acta Otolaryngol 2000;120:680–8Google ScholarPubMed
4Tiwari, R, Mahieu, H, Snow, G. Long-term results of organ preservation in chondrosarcoma of the cricoid. Eur Arch Otorhinolaryngol 1999;256:271–6CrossRefGoogle ScholarPubMed
5Thompson, LDR, Gannon, FH. Chondrosarcoma of the larynx; a clinicopathologic study of 111 cases with a review of the literature. Am J Surg Pathol 2002;26:836–51CrossRefGoogle ScholarPubMed
6Thome, R, Thome, DC, de la Cortina, AS. Long term follow up of cartilaginous tumors of the larynx. Otolaryngol Head Neck Surg 2001;124:634–40Google ScholarPubMed
7Saleh, HM, Guichard, C, Russier, ME, Kemey, JL, Perez, N, Guilian, L. Laryngeal, chondrosarcoma. Report of five cases. Eur Arch Otorhinolaryngol 2002;259:211–16CrossRefGoogle ScholarPubMed
8Bathala, S, Berry, S, Evans, RA, Brodie, S, Altaan, O. Chondrosarcoma of larynx: review of literature and clinical experience. J Laryngol Otol 2008;122:1127–9CrossRefGoogle ScholarPubMed
9Hoffman, HT, Buatti, J. Update on the endoscopic management of laryngeal cancer. Curr Opin Otolaryngol Head Neck Surg 2004;12:525–31Google ScholarPubMed