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Simultaneous typical carcinoid tumour of larynx and occult papillary thyroid carcinoma

Published online by Cambridge University Press:  15 March 2007

Z-M Lin ,
Y-L Chang ,
C-Y Lee ,
C-P Wang  and
T-Y Hsiao
Z-M Lin*
Affiliation:
Department of Otolaryngology, Buddhist Tzu-Chi General Hospital, Hualien, Taiwan
Y-L Chang
Affiliation:
Departments of Pathology and Otolaryngology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
C-Y Lee
Affiliation:
Department of Otolaryngology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan Institute of Biomedical Engineering, College of Medicine and College of Engineering, National Taiwan University, Taipei, Taiwan
C-P Wang
Affiliation:
Department of Otolaryngology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan Institute of Biomedical Engineering, College of Medicine and College of Engineering, National Taiwan University, Taipei, Taiwan
T-Y Hsiao
Affiliation:
Department of Otolaryngology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
*
Address for correspondence: Dr Cheng-Ping Wang, Department of Otolaryngology, National Taiwan University Hospital, 7 Chung-Shan South Rd, Taipei, Taiwan. Fax: +886 2 23910905 E-mail: ping@ha.mc.ntu.edu.tw
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Abstract

Typical carcinoid tumour of the larynx is extremely rare. We report the case of a 43-year-old man initially diagnosed with typical carcinoid tumour of the larynx, presenting with a foreign body sensation in his throat. Coincidentally, an occult papillary thyroid carcinoma was diagnosed, following detection of a suspicious lymph node on pre-operative imaging studies, and confirmation by neck dissection and subsequent total thyroidectomy. Following surgery and radioiodine therapy for these cancers, the patient was alive, well and free of disease two years later. Typical carcinoid tumour of the larynx with a synchronous occult papillary thyroid carcinoma has not previously been reported. The optimal treatment strategy for this case is also discussed.

Keywords

Synchronous NeoplasmsLarynxPapillary CarcinomaCarcinoid TumourThyroid Neoplasms
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 1 , January 2008 , pp. 93 - 96
Copyright
Copyright © JLO (1984) Limited 2007

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References

1Shanmugaratnam, K, Sobin, LH. The World Health Organization histological classification of tumours of the upper respiratory tract and ear. A commentary on the second edition. Cancer 1993;71:2689–973.0.CO;2-H>CrossRefGoogle Scholar
2Ferlito, A, Barnes, L, Rinaldo, A, Gnepp, DR, Milroy, CM. A review of neuroendocrine neoplasms of the larynx: update on diagnosis and treatment. J Laryngol Otol 1998;112:827–34CrossRefGoogle ScholarPubMed
3Woodruff, JM, Huvos, AG, Erlandson, RA, Shah, JP, Gerold, FP. Neuroendocrine carcinomas of the larynx. A study of two types, one of which mimics thyroid medullary carcinoma. Am J Surg Pathol 1985;9:771–90CrossRefGoogle ScholarPubMed
4Sheahan, P, Hafidh, M, Toner, M, Timon, C. Unexpected findings in neck dissection for squamous cell carcinoma: incidence and implications. Head Neck 2005;27:28–35CrossRefGoogle ScholarPubMed
5Castellino, S, Traweek, T, Rosoff, PM. Ewing's tumor and papillary adenocarcinoma of the thyroid in a 14-year-old girl. J Pediatr Hematol Oncol 1998;20:177–80CrossRefGoogle Scholar
6Dannenberg, C, Kluge, R, Korholz, D, Sabri, O. Simultaneous osteosarcoma and papillary thyroid carcinoma. Lancet Oncol 2005;6:126–7CrossRefGoogle ScholarPubMed
7El-Naggar, AK, Batsakis, JG. Carcinoid tumor of the larynx. A critical review of the literature. ORL J Otorhinolaryngol Relat Spec 1991;53:188–93CrossRefGoogle ScholarPubMed
8Chang, KP, Lee, LY, Yeh, RM, Dai, TS, Hao, SP. Endoscopic CO2 laser surgery for an atypical carcinoid tumor of the epiglottis masquerading as a supraglottic cyst. Head Neck 2005;27:1004–7CrossRefGoogle ScholarPubMed
9Gerard-Marchant, R. Thyroid follicle inclusions in cervical lymph nodes. Arch Pathol 1964;77:633–7Google ScholarPubMed
10Ansari-Lari, MA, Westra, WH. The prevalence and significance of clinically unsuspected neoplasms in cervical lymph nodes. Head Neck 2003;25:841–7CrossRefGoogle ScholarPubMed
11Vassilopoulou-Sellin, R, Weber, RS. Metastatic thyroid cancer as an incidental finding during neck dissection: significance and management. Head Neck 1992;14:459–63CrossRefGoogle ScholarPubMed
12Resta, L, Piscitelli, D, Fiore, MG, Di Nicola, VFiorella, AM, Altavilla, A et al. Incidental metastases of well-differentiated thyroid carcinoma in lymph nodes of patients with squamous cell head and neck cancer: eight cases with a review of the literature. Eur Arch Otorhinolaryngol 2004;261:473–8CrossRefGoogle ScholarPubMed
13Attie, JN, Setzin, M, Klein, I. Thyroid carcinoma presenting as an enlarged cervical lymph node. Am J Surg 1993;166:428–30CrossRefGoogle ScholarPubMed
14Shah, JP, Loree, TR, Dharker, D, Strong, EW, Begg, C, Vlamis, V. Prognostic factors in differentiated carcinoma of the thyroid gland. Am J Surg 1992;164:658–61CrossRefGoogle ScholarPubMed
15McConahey, WM, Hay, ID, Woolner, LB, van Heerden, JATaylor, WF. Papillary thyroid cancer treated at the Mayo Clinic, 1946 through 1970: initial manifestations, pathologic findings, therapy, and outcome. Mayo Clin Proc 1986;61:978–96CrossRefGoogle Scholar