Hostname: page-component-8448b6f56d-qsmjn Total loading time: 0 Render date: 2024-04-24T05:16:36.876Z Has data issue: false hasContentIssue false

Invasion of the recurrent laryngeal nerve by adenoid cystic carcinoma. An unusual cause of true vocal fold paralysis

Published online by Cambridge University Press:  29 June 2007

R. P. Hogg*
Affiliation:
Department of Otolaryngology, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK.
M. J. Kuo
Affiliation:
Department of Otolaryngology, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK.
J. Olliff
Affiliation:
Department of Radiology, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK.
A. R. Das Gupta
Affiliation:
Department of Otolaryngology, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK.
*
Address for correspondence: Mr Richard P. Hogg, Department of Otolaryngology, Queen Elizabeth Hospital, Edgbaston, Birmingham. Fax: 0121 627 2299 e-mail: richard.hogg@virgin.net

Abstract

True vocal fold paralysis and goitre are both common problems encountered in ENT practice. Their co-existence, however, should arouse suspicion of the presence of malignant thyroid disease. A rare case of true vocal fold paralysis caused by a clinically occult subglottic adenoid cystic carcinoma, in a 72-year-old, is described. The existence of multinodular goitre in this patient was co-incidental and confounded the diagnostic process.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1999

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Batsakis, J. G., Luna, M. A., El-Naggar, A. K. (1992) Nonsquamous carcinomas of the larynx. Annals of Otology, Rhinology and Laryngology 101: 10241026.CrossRefGoogle ScholarPubMed
Donovan, D. T., Conley, J. (1983) Adenoid cystic carcinoma of the subglottic region. Annals of Otology, Rhinology and Laryngology 92(5 Pt 1): 491495.CrossRefGoogle ScholarPubMed
Emery, P. (1980) Tuberculous abscess of the thyroid with recurrent laryngeal nerve palsy: case report and review of the literature. Journal of Laryngology and Otology 94: 553558.CrossRefGoogle ScholarPubMed
Falk, S. A., McCaffrey, T. V. (1995) Management of the recurrent laryngeal nerve in suspected and proven thyroid cancer. Otolaryngology – Head and Neck Surgery 113: 4248.CrossRefGoogle ScholarPubMed
Franklyn, J. A., Daykin, J., Young, J., Oates, G. D., Sheppard, M. C. (1993) Fine needle aspiration cytology in diffuse or multinodular goitre compared with solitary thyroid nodules. British Medical Journal 307: 240.CrossRefGoogle ScholarPubMed
Godwin, J. E., Miller, K. S., Hoang, K. G., Sahn, S. A. (1991) Benign thyroid hyperplasia presenting as bilateral vocal cord paralysis. Complete remission following surgery. Chest 99: 10291030.CrossRefGoogle ScholarPubMed
Habashi, S. (1991) Benign thyroid adenoma causing recurrent laryngeal nerve palsy in a child. Journal of Laryngology and Otology 105: 141142.CrossRefGoogle ScholarPubMed
Jones, A. S., Hamilton, J. W., Rowley, H., Husbard, D., Helliwell, T. R. (1997) Adenoid cystic carcinoma of the head and neck. Clinical Otolaryngology 22: 434443.CrossRefGoogle ScholarPubMed
Koh, K. B., Chang, K. W. (1992) Carcinoma in multinodular goitre. British Journal of Surgery 79: 266267.CrossRefGoogle ScholarPubMed
Maziak, D. E., Todd, T. R., Keshavjee, S. H., Winton, T. L., Van Nostrand, P., Pearson, F. G. (1996) Adenoid cystic carcinoma of the airway: 32-year experience. Journal of Thoracic and Cardiovascular Surgery 112: 15221531. (Discussion 1531–2).CrossRefGoogle Scholar
Na, D. G., Han, M. H., Kim, K. H., Chang, K. H., Yeon, K. M. (1995) Primary adenoid cystic carcinoma of the cervical trachea mimicking thyroid tumour: CT evaluation. Journal of Computed Assisted Tomography 19: 559563.CrossRefGoogle ScholarPubMed
Quayle, A. R., Talbot, C. H. (1987) Simple thyroid cyst: cause of acute bilateral recurrent laryngeal nerve palsy [letter]. British Medical Journal (Clinical Research Edition) 294: 1487.CrossRefGoogle ScholarPubMed
Rowe-Jones, J. M., Rosswick, R. P., Leighton, S. E. (1993) Benign thyriod disease and vocal cord palsy. Annals of the Royal College of Surgeons of England 75: 241244.Google Scholar
Shaha, A. R., Shah, J. P. (1982) Carcinoma of the subglottic larynx. American Journal of Surgery 144: 456458.CrossRefGoogle ScholarPubMed
Tewfik, T. L., Novick, W. H., Schipper, H. M. (1983) Adenoid cystic carcinoma of the larynx. Journal of Otolaryngology 12: 151154.Google ScholarPubMed
Zirkin, H. J., Tovi, F. (1984) Tracheal carcinoma presenting as a thyroid tumour. Journal of Surgical Oncology 26: 268271.CrossRefGoogle Scholar