Laser excision of a typical carcinoid tumor of the larynx: a case report

Yıl 2010, Cilt: 20 Sayı: 6, 305 - 308, 20.12.2010

Raşit Cevizci Barış Karakullukçu Michiel W.m. Van Den Brekel Alfons J. Balm

Öz

Neuroendocrine carcinomas of the larynx include a range of rare tumors which have variable biologic behavior, affecting treatment and prognosis. Among these, typical carcinoid tumors are the least common type. Prognosis of typical carcinoid tumor is better than atypical carcinoid tumor and small cell carcinoma of the larynx. Conservation surgery is the preferred treatment modality. Transoral CO2 laser surgery can be a good alternative for appropriate cases because of the functional results and less morbidity. In this article, a 71-year-old female presented with complaints of feeling a mass during swallowing. Fiberoptic examination of the larynx revealed a mass located on the right aryepiglottic fold and biopsy revealed the tumor as a typical carcinoid tumor. We describe CO2 laser excision of a typical carcinoid tumor of the larynx in this case report.

Anahtar Kelimeler

Carcinoid tumor/diagnosis/surgery, laryngeal neoplasms, laser therapy, paraganglioma/diagnosis/ surgery

Tipik larenks karsinoid tümörünün lazer eksizyonu: Olgu sunumu

Öz

Larenksin nöroendokrin karsinomları nadir görül- mekle birlikte değişken biyolojik davranışları nede- niyle tedavi ve prognozları farklıdır. Bunlar arasın- da tipik karsinoid tümörler en sık görülen tipidir. Larenksin tipik karsinoid tümörünün gidişatı atipik karsinoid tümöre ve küçük hücreli karsinoma göre daha iyidir. Konservatif cerrahi tercih edilen tedavi yöntemidir. Transoral CO2 lazer cerrahisi, fonksiyo- nel sonuçları ve morbiditenin düşük olması nedeniy- le uygun olgularda iyi bir seçenek olabilir. Bu yazıda, yutkunurken boğazında kitle hissi yakınması ile başvuran 71 yaşında kadın hasta sunuldu. Fiberoptik muayenesinde sağ ariepiglottik pilika yerleşimli kitle ile karşılaşıldı ve alınan biyopsi sonucu tipik karsinoid tümör olarak bildirildi. Bu olgu sunumunda larenks yerleşimli tipik karsinoid tümörün CO2 lazer ile çıkarılması bildirildi

Anahtar Kelimeler

Karsinoid tümör/tanı/cerrahi, larenks tümörleri, lazer tedavisi, paragangliyom/tanı/cerrahi

Kaynakça

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