Transoral laryngeal microsurgery for early-stage laryngeal basaloid squamous cell carcinoma.
Barbara VerroCarmelo SaranitiPublished in: BMJ case reports (2021)
A 71-year-old man presented to our otolaryngology clinic with dysphagia and dyspnoea. He had a history of smoking for 40 years. Laryngoscopy showed an exophytic, round mass on the left aryepiglottic fold that was entirely excised by transoral laser CO2 microsurgery. Histological assessment revealed a pT1 basaloid squamous cell carcinoma (BSCC) with free-margin resection. He underwent close follow-up and after 3-year follow-up, the patient was free from disease. Laryngeal BSCC is a rare cancer with poor prognosis due to its late diagnosis and early neck node metastases. We report a rare case of early tumour treated by endoscopic surgery without complications or recurrence of disease. However, knowing this type of cancer and making a correct differential diagnosis are important to guarantee the best therapy and prognosis.
Keyphrases
- poor prognosis
- squamous cell carcinoma
- papillary thyroid
- rare case
- early stage
- lymph node metastasis
- long non coding rna
- squamous cell
- minimally invasive
- lymph node
- primary care
- risk factors
- locally advanced
- case report
- stem cells
- smoking cessation
- coronary artery disease
- high resolution
- high speed
- rectal cancer
- neoadjuvant chemotherapy