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[Laryngeal undifferentiated soft-tissue sarcoma: a case report and review of literature].

Abstract

Patient presented as a 74-year-old male complaining of hoarseness. Electronic laryngoscope showed a neoplasm whose size was about 1.0 cm×0.5 cm×0.5 cm at anterior commissure. A surgery was conducted to excise the neoplasm en bloc. The histopathological and immunohistochemistry examination suggested inflammatory myofibroblastic tumor. A month later, the patient presented with dyspnea and blood-stained sputum. CT scan of neck showed an occupation lesions under glottis. A tracheotomy and a CO₂ laser surgery was conducted due to patient's will. The histopathological and immunohistochemistry examination suggested undifferentiated sarcoma. We advised him keeping a tracheal cannula to receive further treatment such as radiotherapy or chemotherapy in oncology department, but the patient was not compliant with care instructions for personal reason. He was readmitted 2 months later for dyspnea after plugging the tube. Electronic laryngoscope showed a large neoplasm occupied the laryngeal vestibule, covering the glottis. CT and MRI scan showed the lesion involved spaces of supraglottic, glottic, subglottic and soft tissue around larynx. Hence, a total laryngotomy and bilateral functional neck dissection was conducted. The histopathological examination agreed with the former one. Three weeks later, the skin around his tracheal cannula swelled,ulcerated and pyorrheal. After 10 days of dressing change, patient died of uncontrolled infection.

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Authors

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Source

MeSH

Aged
Glottis
Humans
Laryngeal Neoplasms
Larynx
Male
Neck Dissection
Sarcoma

Pub Type(s)

Case Reports
Journal Article
Review

Language

chi

PubMed ID

29798360

Citation

Dong, Y B., et al. "[Laryngeal Undifferentiated Soft-tissue Sarcoma: a Case Report and Review of Literature]." Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery, vol. 31, no. 15, 2017, pp. 1205-1208.
Dong YB, Liu LF, Xue LY, et al. [Laryngeal undifferentiated soft-tissue sarcoma: a case report and review of literature]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017;31(15):1205-1208.
Dong, Y. B., Liu, L. F., Xue, L. Y., & Lu, C. (2017). [Laryngeal undifferentiated soft-tissue sarcoma: a case report and review of literature]. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery, 31(15), pp. 1205-1208. doi:10.13201/j.issn.1001-1781.2017.15.016.
Dong YB, et al. [Laryngeal Undifferentiated Soft-tissue Sarcoma: a Case Report and Review of Literature]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Aug 5;31(15):1205-1208. PubMed PMID: 29798360.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Laryngeal undifferentiated soft-tissue sarcoma: a case report and review of literature]. AU - Dong,Y B, AU - Liu,L F, AU - Xue,L Y, AU - Lu,C, PY - 2016/12/20/received PY - 2018/5/26/entrez PY - 2018/5/26/pubmed PY - 2018/10/20/medline KW - diagnosis KW - head and neck neoplasms KW - soft-tissue sarcoma KW - therapy SP - 1205 EP - 1208 JF - Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery JO - Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi VL - 31 IS - 15 N2 - Patient presented as a 74-year-old male complaining of hoarseness. Electronic laryngoscope showed a neoplasm whose size was about 1.0 cm×0.5 cm×0.5 cm at anterior commissure. A surgery was conducted to excise the neoplasm en bloc. The histopathological and immunohistochemistry examination suggested inflammatory myofibroblastic tumor. A month later, the patient presented with dyspnea and blood-stained sputum. CT scan of neck showed an occupation lesions under glottis. A tracheotomy and a CO₂ laser surgery was conducted due to patient's will. The histopathological and immunohistochemistry examination suggested undifferentiated sarcoma. We advised him keeping a tracheal cannula to receive further treatment such as radiotherapy or chemotherapy in oncology department, but the patient was not compliant with care instructions for personal reason. He was readmitted 2 months later for dyspnea after plugging the tube. Electronic laryngoscope showed a large neoplasm occupied the laryngeal vestibule, covering the glottis. CT and MRI scan showed the lesion involved spaces of supraglottic, glottic, subglottic and soft tissue around larynx. Hence, a total laryngotomy and bilateral functional neck dissection was conducted. The histopathological examination agreed with the former one. Three weeks later, the skin around his tracheal cannula swelled,ulcerated and pyorrheal. After 10 days of dressing change, patient died of uncontrolled infection. SN - 1001-1781 UR - https://www.unboundmedicine.com/medline/citation/29798360/[Laryngeal_undifferentiated_soft-tissue_sarcoma:_a_case_report_and_review_of_literature] L2 - http://www.diseaseinfosearch.org/result/6655 DB - PRIME DP - Unbound Medicine ER -