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논문KCI 등재

성대 낭종 내부에 발생한 후두 편평세포암종

Squamous Cell Carcinoma of the Larynx Arising in the Intracordal Cyst

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초록

More than half of patients presenting with hoarseness show benign vocal cord changes. However, in rare cases with benign mucosal lesions, it can be diagnosed as a malignant disease after histopathological examination. A 53-year-old man with a 30-pack-year smoking history was admitted for the evaluation of hoarseness, and using a laryngoscope, an enclosed, sac-like cystic lesion was detected on the midpoint of the right true vocal cord. The cystic lesion was deemed to be an intracordal cyst and treated with laryngeal microsurgery. However, pathological findings showed squamous cell carcinoma of the larynx arising in the intracordal cyst, which is exceptionally rare. Therefore, even if a benign lesion is initially suspected, a biopsy must be performed on a patient with smoking history to confirm the diagnosis. In conclusion, we report a case of squamous cell carcinoma of the larynx arising in the intracordal cyst.

Abstract

More than half of patients presenting with hoarseness show benign vocal cord changes. However, in rare cases with benign mucosal lesions, it can be diagnosed as a malignant disease after histopathological examination. A 53-year-old man with a 30-pack-year smoking history was admitted for the evaluation of hoarseness, and using a laryngoscope, an enclosed, sac-like cystic lesion was detected on the midpoint of the right true vocal cord. The cystic lesion was deemed to be an intracordal cyst and treated with laryngeal microsurgery. However, pathological findings showed squamous cell carcinoma of the larynx arising in the intracordal cyst, which is exceptionally rare. Therefore, even if a benign lesion is initially suspected, a biopsy must be performed on a patient with smoking history to confirm the diagnosis. In conclusion, we report a case of squamous cell carcinoma of the larynx arising in the intracordal cyst.

참고문헌 (7)

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  2. Bohlender J, "Diagnostic and therapeutic pitfalls in benign vocal fold diseases", GMS Curr Top Otorhinolaryngol Head Neck Surg, 12, pp.Doc01~ (2013)
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  4. Nam SY, "The efficacy of voice and stroboscopic analysis in diagnosis of vocal cyst", Korean J Otorhinolaryngol-Head Neck Surg, 43(4), pp.411~415 (2000)
  5. Nam SY, "Otorhinolaryn-gology-head and neck surgery: head and neck", pp.903~910 (2018), Koonja
  6. Mau T, "Diagnostic evaluation and management of hoarseness", Med Clin North Am, 94(5), pp.945~960 (2010)
  7. 김태훈, "성대 폴립으로 오인된 후두의 육종양 암종 1례", 대한후두음성언어의학회지, 28(2), pp.128~130 (2017), 대한후두음성언어의학회[DOI]

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