Carcinosarcoma of the Hypopharynx—A Rare Entity with Unique Surgical ProcedureReport as inadecuate




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Background: Carcinosarcoma of hypopharynx is a rare neoplasm with bothmalignant epithelial and mesenchymal components. They are highly aggressive innature with controversial histogenesis. To our knowledge, thereis no case reported of carcinosarcoma of hypopharynx managed with wide LASERexcision and modified radical neck dissection followed by chemoradiation. Method and Result: 42-year-old malepresented complaints of foreign body sensation in throat, and difficultyin swallowing and hoarseness for 4 months. On examination, a large smoothglobular mass filling the supraglottis obscuring the view of endolarynx wasnoted and right side level-II cervical lymphadenopathy was found. CECT neckrevealed a large hypopharyngeal mass abutting the supraglottis.Microlaryngoscopic biopsy was reported as high grade carcinosarcoma and PETscan was done after 1 week which revealed no any distant metastasis. The patientwas taken for transoral pulsed carbon dioxide LASER excision with modifiedradical neck dissection, and postoperative chemoradiation was done andafter two years of closed follow-up MRI was done which revealed no disease and the patientis absolutely free of disease till now. Conclusion: It was a rare case which was managed with complete LASER excision with neckdissection and postoperative chemoradiation and the patient isabsolutely free of disease till now after 2 years of follow-up.

 

KEYWORDS

Carcinosarcoma; PET Scan; LASER

Cite this paper

S. Agarwal, S. Singh, S. Sharma and A. Lahiri -Carcinosarcoma of the Hypopharynx—A Rare Entity with Unique Surgical Procedure,- International Journal of Otolaryngology and Head & Neck Surgery, Vol. 2 No. 6, 2013, pp. 259-262. doi: 10.4236-ijohns.2013.26054.





Author: Sangeet Kumar Agarwal, Satinder Singh, Shalabh Sharma, Asish Kumar Lahiri

Source: http://www.scirp.org/



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