title: Invasion of the recurrent laryngeal nerve by adenoid cystic carcinoma. An unusual cause of true vocal fold paralysis.
abstract: True vocal fold paralysis and goitre are both common problems encountered in ENT practice. Their co-existence, however, should arouse suspicion of the presence of malignant thyroid disease. A rare case of true vocal fold paralysis caused by a clinically occult subglottic adenoid cystic carcinoma, in a 72-year-old, is described. The existence of multinodular goitre in this patient was co-incidental and confounded the diagnostic process.
authors.affiliation: Department of Otolaryngology, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK. richard.hogg@virgin.net
authors.forename: R P
authors.initials: RP
authors.lastname: Hogg
authors.forename: M J
authors.initials: MJ
authors.lastname: Kuo
authors.forename: J
authors.initials: J
authors.lastname: Olliff
authors.forename: A R
authors.initials: AR
authors.lastname: Das Gupta
mesh_terms: D000368:Aged; D003528:Carcinoma, Adenoid Cystic / Q000000981:diagnostic imaging / Q000473:pathology*; D003413:Cricoid Cartilage / Q000000981:diagnostic imaging / Q000473:pathology*; D005260:Female; D006044:Goiter, Nodular / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D007822:Laryngeal Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*; D009361:Neoplasm Invasiveness; D012009:Recurrent Laryngeal Nerve / Q000000981:diagnostic imaging / Q000473:pathology*; D014057:Tomography, X-Ray Computed; D014826:Vocal Cord Paralysis / Q000000981:diagnostic imaging / Q000209:etiology*