Laryngeal carcinoma presenting as a large anterior neck abscess

Hideki Nakagawa, Akihiro Shiotani, Koji Araki, Toshiyuki Kusuyama, Hiroyuki Fukuda, Kaoru Ogawa

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Laryngeal carcinoma presenting as a cervical abscess is rare, so that its diagnosis is not easy. We described a case of laryngeal squamous cell carcinoma presenting as a prelaryngeal large abscess. Markedly swollen false vocal fold inhibited fiberscopic examination of the vocal folds. CT scan indicated destruction of the thyroid cartilage. Although biopsies from the abscess did not reveal malignancy, laryngeal squamous cell carcinoma was confirmed by laryngomicrosurgery with laryngeal vestibulectomy. The patient was treated by total laryngectomy with neck dissection followed by radiotherapy. The abscess was thought to be formed not by direct extension and necrosis of the tumor, but by the leakage of air and mucus through the fistula on the destroyed thyroid cartilage. Precise observation and biopsy under directscopic vestibulectomy played an important role in diagnosis of malignancy inherent in severe inflammatory tissues.

Original languageEnglish
Pages (from-to)249-251
Number of pages3
JournalAuris Nasus Larynx
Volume34
Issue number2
DOIs
Publication statusPublished - 2007 Jun 1

Keywords

  • Abscess
  • Carcinoma
  • Larynx

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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    Nakagawa, H., Shiotani, A., Araki, K., Kusuyama, T., Fukuda, H., & Ogawa, K. (2007). Laryngeal carcinoma presenting as a large anterior neck abscess. Auris Nasus Larynx, 34(2), 249-251. https://doi.org/10.1016/j.anl.2006.05.013