Laryngeal adenoid cystic carcinoma: case report

CONTEXT: Adenoid cystic carcinomas are malignant tumors that occur in both the major and the minor salivary glands. A laryngeal location is rare because of the paucity of accessory salivary glands in this area. Adenoid cystic carcinomas account for less than 1% of all malignant tumors in the larynx,...

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Detalhes bibliográficos
Autores: Negro, André Del, Ichihara, Edson, Tincani, Alfio José, Altemani, Albina, Martins, Antônio Santos
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2007
País:Brasil
Recursos:Associação Paulista de Medicina
Repositorio:São Paulo medical journal (Online)
Idioma:inglés
OAI Identifier:oai:ojs.diagnosticoetratamento.emnuvens.com.br:article/2156
Acesso em linha:https://periodicosapm.emnuvens.com.br/spmj/article/view/2156
Access Level:acceso abierto
Palavra-chave:Carcinoma adenóide cístico
Laringe
Glândulas salivares
Radioterapia
Laringectomia
Adenoid cystic carcinoma
Larynx
Salivary gland
Radiotherapy
Laryngectomy
Descrição
Resumo:CONTEXT: Adenoid cystic carcinomas are malignant tumors that occur in both the major and the minor salivary glands. A laryngeal location is rare because of the paucity of accessory salivary glands in this area. Adenoid cystic carcinomas account for less than 1% of all malignant tumors in the larynx, and only about 120 cases have been reported in the literature. These tumors have a slight female predisposition, and their peak incidence is in the fi fth and sixth decades of life. In this article, we describe a case of laryngeal adenoid cystic carcinoma and discuss its clinical characteristics and treatment. CASE REPORT: We report on a case of laryngeal adenoid cystic carcinoma in a 55 year-old female patient who presented with dyspnea and hoarseness. Features of the diagnostic and therapeutic evaluation are described and the clinical management of such cases is outlined. The clinical course, defi nitive treatment strategy and surgical procedure, and also adjuvant treatment with irradiation are discussed. Although the tumor is radiosensitive, it is not radiocurable.