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Endoscopic CO 2 laser surgery for an atypical carcinoid tumor of the epiglottis masquerading as a supraglottic cyst
Author(s) -
Chang KaiPing,
Lee LiYu,
Yeh Albert ReMing,
Dai TsungSung,
Hao ShengPo
Publication year - 2005
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.20260
Subject(s) - epiglottis , medicine , cyst , surgery , larynx , biopsy , radiology
Background. Atypical carcinoid tumor is a neuroendocrine tumor; its occurrence in the larynx is uncommon, and clinical manifestations are rare. We report an unusual case of atypical carcinoid tumor of the epiglottis mimicking a supraglottic retention cyst. Methods. A 44‐year‐old woman complained of an intermittent globus sensation of the throat of 2 years' duration. A 1.0‐ × 0.8‐cm cystic lesion was found over the tip of the epiglottis. A supraglottic retention cyst was initially diagnosed, and the patient was treated medically. Her symptoms persisted, so we performed a laryngoscopic biopsy, which suggested an atypical carcinoid tumor. Results. Transoral endoscopic CO 2 laser surgery and bilateral elective neck dissection were subsequently performed. The 2‐year follow‐up did not reveal any locoregional recurrence or distant metastasis. Conclusions. This aggressive neoplasm may cause only a few, unremarkable symptoms and masquerade as a supraglottic cyst. Endoscopic CO 2 laser surgery can be used to resect this uncommon tumor, with oncologically sound results and without surgical morbidity. © 2005 Wiley Periodicals, Inc. Head Neck 27: XXX–XXX, 2005