Philippine Journal of Otolaryngology Head and Neck Surgery (Dec 2010)
Typical Laryngeal Carcinoid Recurrence and its Management by Conservative Surgery
Abstract
Objective: Recurrence of a typical laryngeal carcinoid is extremely rare after surgery with tumor-free margins on histopathology. We present a rare case of typical laryngeal carcinoid that recurred after eight years and was managed by conservative surgery. Methods: Design: Case report Setting: Tertiary Government Hospital Patient: One Results: A known case of typical laryngeal carcinoid treated eight years back reported again with the same symptoms he previously had. On evaluation local tumor recurrence was identified with a negative metastatic workup. The patient was subjected to microlaryngeal excision which was adequate histopathologically. He has had no evidence of disease on follow up of two years. Conclusion: A typical laryngeal carcinoid tumor may present differently and recur locally but conservative surgery is still an option if local nodal and distant metastatic spread is ruled out. Key words: neuroendocrine tumor,typical laryngeal carcinoid, microlaryngeal excision. hemoptysis
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