Preservation of speech and swallowing after excision of a pharyngeal pouch tumour.
A pharyngeal pouch is not an uncommon cause of dysphagia in older population. However, finding a tumour in a pharyngeal pouch is very rare. A 79-year-old gentleman presented with dysphagia and a neck lump. Videofluoroscopy showed a pharyngeal pouch. Rigid endoscopy confirmed a tumour arising from the pharyngeal pouch. The histology showed it to be squamous cell carcinoma. The MRI scan based staging was T3N1M0. The patient underwent modified right radical neck dissection, partial pharyngectomy with primary repair and tracheostomy. He completed postoperative radiotherapy and remained disease-free at 4 years follow-up.
Department of Otolaryngology-Head and Neck Surgery, Aberdeen Royal Infirmary, Aberdeen, AB252ZN, Scotland, UK.
Muhammad
M
Shakeel
Department of Otolaryngology-Head and Neck Surgery, Aberdeen Royal Infirmary, Aberdeen, AB252ZN, Scotland, UK.
V
V
Sankar
Department of Otolaryngology-Head and Neck Surgery, Aberdeen Royal Infirmary, Aberdeen, AB252ZN, Scotland, UK.
V
V
Vallamkondu
Department of Pathology, Aberdeen Royal Infirmary, Aberdeen, AB252ZN, Scotland, UK.
A
A
Chapman
Department of Pathology, Aberdeen Royal Infirmary, Aberdeen, AB252ZN, Scotland, UK.
A
A
Hussain
D000368:Aged; D044963:Biopsy, Fine-Needle; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery*; D003679:Deglutition; D003680:Deglutition Disorders / Q000209:etiology*; D005471:Fluoroscopy; D006801:Humans; D008297:Male; D037981:Neck Dissection / Q000009:adverse effects; D010610:Pharyngeal Neoplasms / Q000473:pathology / Q000601:surgery*; D010611:Pharyngectomy / Q000379:methods*; D011183:Postoperative Complications; D013060:Speech; D017792:Surgical Stapling; D016896:Treatment Outcome