[Subtotal cricoid resection as primary therapy for a highly differentiated chondrosarcoma].
Chondrosarcomas of the larynx are rare malignant tumors usually diagnosed with significant delay due to their nonspecific symptoms. We report a 50-year-old male presenting with progressive dyspnea. Indirect laryngoscopy revealed a subglottic stenosis. The cricoid cartilage was shown on CT to be massively damaged. Histologic differentiation between chondroma and highly differentiated chondrosarcoma was very difficult. Therefore, an organ-preserving treatment concept using partial cricoid resection and staged endoscopic arytenoidectomy was chosen. Total laryngectomy and permanent tracheostomy could be avoided. Due to the risk of recurrence, early follow-up with endoscopy and CT is mandatory.
Streckfuss
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A
Klinik für Hals-Nasen-Ohren-Heilkunde, Universitäts-Hals-Nasen-Ohren-Klinik Heidelberg, Im Neuenheimer Feld 400, Heidelberg, Germany. alexandra.streckfuss@med.uni-heidelberg.de
Sittel
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Helmke
B M
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Plinkert
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D002813:Chondrosarcoma / Q000473:pathology / Q000601:surgery*; D003413:Cricoid Cartilage / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000473:pathology / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D016896:Treatment Outcome