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Cartilaginous tumors of the larynx

Introduction: Cartilaginous tumors of the larynx are uncommon, the cricoid cartilage being the most common site. The rarity of these tumors accounts for limited experience and, as a consequence, knowledge about them presents obscure points. Objective: To report surgical results as well as long-term follow-up on six patients with cartilaginous tumors of the larynx, 4 low-grade chondrosarcoma and 2 chondroma. Study design: Retrospective no randomized. Material and method: Five of the tumors were located in the cricoid and 1 in the thyroid cartilage. The patients had partial (4) and total laryngectomy (2), followed up from 6 to 30 years (average-19.5 years). Results: None of the patients presented metastasis or tumor-related death. Survival rate tumor-free at 5-years was 100% and at 20-years 67%, comorbidity being responsible for the decrease. Conclusions: Our results reinforce the concept for partial surgery as treatment modality, reserving total laryngectomy for large tumor or recurrence. Five-year follow-up may not be sufficient to observe recurrence in less aggressive chondrosarcoma.

chondroma; chondrosarcoma; larynx; laryngeal neoplasms; laryngeal surgery


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