title: Extensive laryngeal infiltration from a neglected papillary thyroid carcinoma: A case report.
abstract: Papillary carcinoma of the thyroid is the commonest type of thyroid cancer. Laryngeal infiltration from papillary thyroid carcinoma is extremely rare, with only a few cases of partial invasion described in the literature. We present a very unusual case of complete infiltration of both thyroid and cricoid cartilages from a neglected papillary thyroid carcinoma in a 59-year-old male. This sequel resulted from refusal of the patient to undergo treatment when initially diagnosed. An invasion to such an extent has not been described in the literature before, and in this case warranted a total laryngectomy followed by radioactive iodine. Prompt management of papillary carcinomas is crucial for avoiding such complications. Future guidelines should include management options for the patients who deny treatment initially.
authors.affiliation: Fanourios Georgiades, St George's, University of London at the University of Nicosia, 2408 Nicosia, Cyprus.
authors.forename: Fanourios
authors.initials: F
authors.lastname: Georgiades
authors.affiliation: Fanourios Georgiades, St George's, University of London at the University of Nicosia, 2408 Nicosia, Cyprus.
authors.forename: George
authors.initials: G
authors.lastname: Vasiliou
authors.affiliation: Fanourios Georgiades, St George's, University of London at the University of Nicosia, 2408 Nicosia, Cyprus.
authors.forename: Efthimios
authors.initials: E
authors.lastname: Kyrodimos
authors.affiliation: Fanourios Georgiades, St George's, University of London at the University of Nicosia, 2408 Nicosia, Cyprus.
authors.forename: Giannis
authors.initials: G
authors.lastname: Thrasyvoulou
keywords: Complications; Cricoid cartilage; Laryngeal infiltration; Management; Papillary thyroid carcinoma