Rare case of combined laryngocoele masquerading as laryngeal carcinoma: a case report and review of literature
Abstract
Laryngocoele is an abnormal dilatation of the laryngeal saccule. It is a rare entity. Patient generally presents with hoarseness, dysphagia, dyspnea, foreign body sensation in throat and swelling in the neck. It is a benign condition, however the risk of malignancy is always associated with it, especially, if a patient is smoker or tobacco chewer. Once the diagnosis is established, laryngocoele are best treated by surgery. We present a rare case of combined laryngocoele in a 62 year old male patient, a chronic smoker, with history of recurrent swelling in neck right side for 2 years and hoarseness for duration of 1 month. It was a diagnostic dilemma as to what we were dealing with, a benign condition or malignancy. Eventually patient underwent excision by external approach. Resected specimen histo-pathological examination was consistent with laryngocoele. Post excision his normal voice was also restored.
Keywords
Full Text:
PDFReferences
Holinger LD, Barnes DR, Smid LJ, Holinger PH. Laryngocele and saccular cysts. Annals Otol Rhinol Laryngol. 1978;87(5):675-85.
Dursun G, Ozgursoy OB, Beton S, Batikhan H. Current diagnosis and treatment of laryngocele in adults. Otolaryngol Head Neck Surg. 2007;136(2):211-5.
Mitroi M, Capitanescu A, Popescu FC, Popescu C, Mogoanta CA, Mitroi G, Surlin C. Laryngocele associated with laryngeal carcinoma. Rom J Morphol Embryol. 2011;52(1):183-5.
Harney M, Patil N, Walsh R, Brennan P, Walsh M. Radiology in Focus: Laryngocele and squamous cell carcinoma of the larynx. J Otol Laryngol. 2001;115:590-2.
Prasad KC, Vijayalakshmi S, Prasad SC. Laryngoceles-presentations and management. Indian J Otolaryngol Head Neck Surg. 2008;60(4):303-8.
Keles E, Alpay HC, Orhan I, Yildirim H. Combined laryngocele: a cause of stridor and cervical swelling. Auris Nasus Larynx. 2010;37(1):117-20.
Verret DJ, DeFatta RJ, Sinard R. Combined laryngocele. Ann Otol Rhinol Laryngol. 2004;113:594–6.
Amin M, Maran AG. The aetiology of laryngocoele. Clin Otolaryngol. 1988;13(4):267-72.
Canalis RF, Maxwell DS, Hemenway WG. Laryngocele--an updated review. J Otolaryngol. 1977;6(3):191-9.
Macfie DD. Asymptomatic laryngoceles in wind-instrument bandsmen. Arch Otolaryngol. 1966;83(3):270-5.
Celin SE, Johnson J, Curtin H, Barnes L. The association of laryngoceles with squamous cell carcinoma of the larynx. The Laryngoscope. 1991;101(5):529-36.
Cassano L, Lombardo P, Ragona RM, Pastore A. Laryngopyocele: three new clinical cases and review of the literature. European Arch Oto-Rhino-Laryngol. 2000;257(9):507-11.
Thomé R, Thomé DC, De La Cortina RA. Lateral thyrotomy approach on the paraglottic space for laryngocele resection. Laryngoscope. 2000;110(3):447-50.
Parsons CA, Chapman P, Counter RT, Grundy A. The role of computed tomography in tumours of the larynx. Clinical Radiol. 1980;31(5):529-33.
Devesa PM, Ghufoor K, Lloyd S, Howard D. Endoscopic CO2 laser management of laryngocele. Laryngoscope. 2002;112(8):1426-30.
Lancella A, Abbate G, Dosdegani R. Mixed laryngocele: a case report and review of the literature. Acta Otorhinolaryngologica Italica. 2007;27(5):255.