Cricoid chondrosarcoma coexisting with a thyroid mass: case report and review of the literature.
Laryngeal chondrosarcomas are rare cartilaginous tumors that usually present with hoarseness, dyspnea and, occasionally, dysphagia and dysphonia. We report the case of a low-grade chondrosarcoma of the cricoid cartilage coexisting with a right thyroid nodule, which presented with homolateral vocal fold paralysis. After a precautionary tracheotomy the patient underwent a laryngofissure in which the mass arising from the posterior plate of the cricoid cartilage was entirely enucleated. The histopathological analysis was compatible with a low-grade chondrosarcoma involving the posterior resection margin. For this reason, in agreement with the patient's wishes, a total laryngectomy and simultaneous right hemithyroidectomy were performed. We here discuss the peculiarity of the presentation and the therapeutic dilemma posed by this rare neoplasm.
Pignataro
Lorenzo
L
Department of Otorhinolaryngology and Ophthalmological Sciences, Fondazione Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, IRCCS, Milan, Italy. lorenzo.pignataro@unimi.it
Peri
Andrea
A
Pagani
Davide
D
Iudica
Francesco
F
Scaramellini
Gabriele
G
D002813:Chondrosarcoma / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D003413:Cricoid Cartilage / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D008875:Middle Aged; D016606:Thyroid Nodule / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D014057:Tomography, X-Ray Computed; D014826:Vocal Cord Paralysis / Q000209:etiology