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Chondrosarcoma of the larynx

Published online by Cambridge University Press:  29 June 2007

Venkata N. Koka
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, American Hospital of Paris, Neuilly, France.
Francois Veber*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, American Hospital of Paris, Neuilly, France.
Jean-Francois Haguet
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, American Hospital of Paris, Neuilly, France.
Oliver Rachinel
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, American Hospital of Paris, Neuilly, France.
Charles Freche
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, American Hospital of Paris, Neuilly, France.
Marie-Dominique Liguory-Brunaud
Affiliation:
Department of Pathology, American Hospital of Paris, Neuilly, France.
*
Address for correspondence: Dr F. Veber, Department of ORL and Head and Neck Surgery, American Hospital of Paris, 63 Bd Victor Hugo, 92200 Neuilly, France.

Abstract

A case of a low grade chondrosarcoma of the cricoid cartilage which had been diagnosed intially as a chondroma is presented. The tumour reurred twice after limited surgical resections. Total laryngectomy was inecvitable due to near total involvement of the cricoid cartilage and subsequent histological examination revealed a low grade chondrosacroma. We have discussed in brief, the diagnosis and treatment of chondrosarcomas of the larynx and support the view of consecutive surgical managaement of low grade tumours as they are slow growing and metastates are infequent. A total laryngectomy may be reserved for salvage or primarily when more than half of the cricoid cartilage needs to be resected.

Histologicalgrading reveals the biological behaviour of the tumour and CT scans help in planning the surgery. A regular follow-up is necessary for early detection of recurrences and metastases.

Type
Pathology in Focus
Copyright
Copyright © JLO (1984) Limited 1995

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References

Barsocchin, L. M., McCoy, G. (1968) Cartilaginous tumours of the larynx. A review of the literature and a report of four cases. Annals of Otology, Rhinology and Laryngology 77: 146153.CrossRefGoogle Scholar
Batsakis, J. G., Raymond, A. K. (1988) Cartilage tumors of the larynx. Southern Medical Journal 81: 481484.CrossRefGoogle ScholarPubMed
Burkey, B., Hoffman, H., Baker, S., Thornton, A., McClatchey, K. (1990) Chondrosarcoma of the head and neck. Laryngoscope 100: 13011305.CrossRefGoogle ScholarPubMed
Cocke, E. W. Jr., (1962) Benign cartilaginous tumors of the larynx. Laryngoscope 72: 16781730.CrossRefGoogle ScholarPubMed
Evans, H., Ayala, A., Romsdahl, M. (1977) . Prognostic factors in chondrosarcoma of bone. A clinicopathologic analysis with emphasis on histologic grading. Cancer 40: 818831.3.0.CO;2-B>CrossRefGoogle Scholar
Ferlito, A., Nicolai, P., Montaguti, A., Ceccheto, A., Penneli, N. (1984) Chondrosarcoma of the larynx: review of the literature and report of three cases. American Journal of Otolaryngology 5: 350359.CrossRefGoogle ScholarPubMed
Ferlito, A. (1993) Neoplasms of the larynx, 1st Edition, Churchill-Livingstone, Edinburgh, pp. 305.Google ScholarPubMed
Finn, D., Goepfert, J., Batsakis, J. (1984) Chondrosarcoma of the head and neck. Laryngoscope 94: 15391544.CrossRefGoogle ScholarPubMed
Gasior, R. M., Remine, W. H. (1967) Cartilaginous tumors of the larynx. Minnesota Medicine 50: 11971201.Google ScholarPubMed
Harwood, A. R., Krajbich, J. I., Fornasier, V. L. (1980) Radiotherapy of chondrosarcoma of bone. Cancer 45: 27692777.3.0.CO;2-X>CrossRefGoogle ScholarPubMed
Hicks, J. N., Walker, E. E., Moor, E. E. (1982) Diagnosis and conservative surgical management of chondrosarcoma of the larynx. Annals of Otology, Rhinology and Laryngology 91: 389391.CrossRefGoogle ScholarPubMed
Jones, H. M. (1973) Cartilaginous tumours of the head and neck. Journal of Laryngology and Otology 87: 135151.CrossRefGoogle ScholarPubMed
Lavertu, P., Tucker, H. M. (1984) Chondrosarcoma of the larynx: case report and management philosophy. Annals of Otology, Rhinology and Laryngology 93: 452456.CrossRefGoogle ScholarPubMed
Lichenstein, L., Jaffe, H. L. (1943) Chondrosarcoma of bone. American Journal of Pathology 19: 553573.Google Scholar
Mirra, J. M. (1989) Bone tumors. Clinical, radiologic and pathologic correlations, 1st Edition, vol. 1. Lea & Febiger, London, p 477.Google Scholar
Nakayama, M., Brandenberg, J. H., Hafez, R. G. (1993) Dedifferentiated chondrosarcoma of the larynx with regional and distant metastases. Annals of Otology, Rhinology and Laryngology 102: 785791.Google ScholarPubMed
Neis, P. R., McMahon, M. F, Norris, C. W. (1989) Cartilaginous tumors of the trachea and larynx. Annals of Otology, Rhinology and Laryngology 98: 3136.CrossRefGoogle ScholarPubMed
Nicolai, P., Ferlito, A., Sasaki, C. T, Kirchner, J. A. (1990) Laryngeal chondrosarcoma: incidence, pathology, biological behavior, and treatment. Annals of Otology, Rhinology and Laryngology 99: 515523.CrossRefGoogle ScholarPubMed
Zizmor, J., Noyek, A. M., Lewis, J. S. (1975) Radiologic diagnosis of chondroma and chondrosarcoma of the larynx. Archives of Otolaryngology 101: 232234.CrossRefGoogle ScholarPubMed