title: A case of typical carcinoid of the larynx.
abstract: We report herein a rare case of typical carcinoid occurring primarily in the epiglottis. The patient was a 70-year-old man. On initial examination, a polypoid lesion with irregular surface near the center right-hand side of the laryngeal surface of the epiglottis was observed, and a biopsy was performed. Pathological examination of the specimen suggested the possibility of adenocarcinoma. Surgical excision was performed by means of laryngomicrosurgery. A Weerda-type laryngoscope was used to open the larynx, supplemented by rigid nasal sinus surgery endoscopes, and the right-hand half of the epiglottis were excised was ensured using a CO(2) laser. Postoperative pathological diagnosis was negative for adenocarcinoma and squamous cell cancer; typical carcinoid was diagnosed according to the World Health Organization criteria. Aspiration occurred postoperatively, swallowing training was therefore provided, and the patient was discharged from hospital 2 months after surgery when he was able to eat normally. As of 4 years after surgery, the patient remains under follow-up observation by means of PET-CT and neck, thoracic, and abdominal CT administered at appropriate intervals, but no findings indicating obvious recurrence or metastasis have been observed, and the patient displays good swallowing function.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine, Saga University, Saga 849-8501, Japan.
authors.forename: Shintaro
authors.initials: S
authors.lastname: Sato
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Kuratomi
authors.forename: Fumio
authors.initials: F
authors.lastname: Yamasaki
authors.forename: Akira
authors.initials: A
authors.lastname: Inokuchi