Coexistence of laryngeal cancer and laryngocele: a radiologic and pathologic evaluation

Yıl 2002, Cilt: 9 Sayı: 1, 46 - 52, 03.01.2002

M. Zafer Uğuz Haydar Kazım Önal Saliha Karagöz Hünkar Gökçe Uğur Fırat

Öz

Objectives: We investigated the incidence of laryngo­ cele in patients with laryngeal cancer and in healthy Controls and evaluated the role of laryngocele in neck metastasis and thyroid cartilage invasion.Patients and Methods: The incidence of laryngo­ cele was investigated by computed tomography CT preoperatively in 52 patients 49 men, 3 women; mean age 56 years; range 36 to 79 years with laryngeal cancer. The findings were compared with those of histopathologic studies; moreover, neck metastasis and thyroid cartilage invasion were sought. İn addition, the incidence of laryngocele was examined in 50 normal Controls.Results: Histopathologic examination showed laryngo­ cele in 17 patients 32.7% . The incidence of laryngo­ cele by CT was 30.7% n=16 . Computed tomography showed laryngocele in three cases 6% . Of patients with laryngocele, lymph node metastasis and thyroid cartilage invasion were detected histopathologically in 47% and 23.5%, respectively, whereas lymph node metastasis and thyroid cartilage invasion were found in 22.8% of patients without laryngocele p>0.05 .Conclusion: The association between laryngeal cancer and laryngocele requires a detailed evalua­ tion for laryngeal carcinoma in patients in whom an asymptomatic laryngocele had been detected by CT.

Anahtar Kelimeler

Carcinoma, squamous cell/radiography/ surgery, dilatation, pathologic, hemia/radiography/surgery, hoarseness/etiology, laryngeal neoplasms/complications/ surgery, larynx/abnormalities, tomography, x-ray computed

Larenks kanseri ve larengosel birlikteliği: Radyolojik ve patolojik araştırma

Öz

Amaç: Larenks kanserli hastalarda ve normal kiflilerde larengosel sıklığını arafltırmak, boyunda lenfnodu metastazı üzerinde ve tiroit kıkırdak invazyonunda larengoselin etkinliğini belirlemek.Hastalar ve Yöntemler: Larenks kanseri tanısıylaameliyat edilen 52 hastada ameliyat öncesinde bilgisayarlı tomografi ile BT larengosel varlığı arafltırıldıve çıkarılan larenks örneklerinin histopatolojik incelemesi yapıldı. Ayrıca, boyunda lenf nodu metastazıve tiroit kıkırdak invazyonu arafltırıldı. Larenksindepatoloji bulunmayan 50 kiflide BT ile larengosel varlığı arafltırıldı.B u l g u l a r : Histopatolojik incelemede 17 olguda %32.7 , bilgisayarlı tomografi ile 16 olguda %30.7 larengosel saptandı. Kontrol grubunda üç olguda %6 larengosel bulundu. Histopatolojik incelemedelarengosel saptanan olguların %47’sinde lenf nodunda metastaz, %23.5’inde tiroit kıkırdak tutulumusaptandı; larengosel saptanmayan olgularda ise lenfnodu metastazı ve tiroit kıkırdak tutulumu her bir durum için %22.8 bulundu p>0.05 .Sonuç: Larenks kanseri ile larengosel arasında gözlenen birliktelik, boyun BT’sinde asemptomatik larengosel saptanan hastalarda larenks kanseri açısından daha dikkatli olunmasını gerektirmektedir

Anahtar Kelimeler

Karsinom, skuamöz hücreli/radyografi/cerrahi, dilatasyon, patolojik, herni/radyografi/cerrahi, ses kısıklığı/etyoloji, larenjeal neoplazmlar/komplikasyon/cerrahi, larenks/anormallik, bilgisayarlı tomografi

Kaynakça

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