Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics (대한후두음성언어의학회지)

The Korean Society of Laryngology, Phoniatrics and Logopedics. (대한후두음성언어의학회)
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Squamous Cell Carcinoma of the Larynx Arising in the Intracordal Cyst

성대 낭종 내부에 발생한 후두 편평세포암종

  • Lee, Seon-Gyu (Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Kyung Hee University) ;
  • Song, Min Jeong (Department of Pathology, Kyung Hee University Hospital at Gangdong, School of Medicine, Kyung Hee University) ;
  • Eun, Young-Gyu (Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Kyung Hee University) ;
  • Lee, Young Chan (Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Kyung Hee University)
  • 이선규 (경희대학교 의과대학 이비인후과학교실) ;
  • 송민정 (경희대학교 의과대학 강동경희대학교병원 병리학교실) ;
  • 은영규 (경희대학교 의과대학 이비인후과학교실) ;
  • 이영찬 (경희대학교 의과대학 이비인후과학교실)
  • Received : 2020.11.05
  • Accepted : 2020.11.26
  • Published : 2021.04.30
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Abstract

More than half of patients presenting with hoarseness show benign vocal cord changes. However, in rare cases with benign mucosal lesions, it can be diagnosed as a malignant disease after histopathological examination. A 53-year-old man with a 30-pack-year smoking history was admitted for the evaluation of hoarseness, and using a laryngoscope, an enclosed, sac-like cystic lesion was detected on the midpoint of the right true vocal cord. The cystic lesion was deemed to be an intracordal cyst and treated with laryngeal microsurgery. However, pathological findings showed squamous cell carcinoma of the larynx arising in the intracordal cyst, which is exceptionally rare. Therefore, even if a benign lesion is initially suspected, a biopsy must be performed on a patient with smoking history to confirm the diagnosis. In conclusion, we report a case of squamous cell carcinoma of the larynx arising in the intracordal cyst.

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References

  1. Roy N, Merrill RM, Gray SD, Smith EM. Voice disorders in the general population: prevalence, risk factors, and occupational impact. Laryngoscope 2005;115(11):1988-95. https://doi.org/10.1097/01.mlg.0000179174.32345.41
  2. Bohlender J. Diagnostic and therapeutic pitfalls in benign vocal fold diseases. GMS Curr Top Otorhinolaryngol Head Neck Surg 2013;12:Doc01.
  3. House SA, Fisher EL. Hoarseness in adults. Am Fam Physician 2017;96(11):720-8.
  4. Nam SY, Song YJ. The efficacy of voice and stroboscopic analysis in diagnosis of vocal cyst. Korean J Otorhinolaryngol-Head Neck Surg 2000;43(4):411-5.
  5. Nam SY. Benign mucosal disease of the larynx. In: Korean Society of Otorhinolaryngology-Head and Neck Surgery, editor. Otorhinolaryngology-head and neck surgery: head and neck. 3rd ed. Paju: Koonja; 2018. p.903-10.
  6. Mau T. Diagnostic evaluation and management of hoarseness. Med Clin North Am 2010;94(5):945-60. https://doi.org/10.1016/j.mcna.2010.05.010
  7. Kim TH, Lee GJ, Sohn JH. A case of sarcomatoid carcinoma of the larynx mimicking vocal polyp. J Korean Soc Laryngol Phoniatr Logop 2017;28(2):128-30. https://doi.org/10.22469/jkslp.2017.28.2.128