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Case Reports in Otolaryngology
Volume 2012 (2012), Article ID 717251, 5 pages
http://dx.doi.org/10.1155/2012/717251
Case Report

A Case of Typical Carcinoid of the Larynx

1Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine, Saga University, Saga 849-8501, Japan
2Division of Pathology, Department of Pathology and Microbiology, Faculty of Medicine, Saga University, Saga 849-8501, Japan

Received 20 December 2011; Accepted 7 February 2012

Academic Editors: A. Taş, S. Ulualp, and H.-W. Wang

Copyright © 2012 Shintaro Sato et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report herein a rare case of typical carcinoid occurring primarily in the epiglottis. The patient was a 70-year-old man. On initial examination, a polypoid lesion with irregular surface near the center right-hand side of the laryngeal surface of the epiglottis was observed, and a biopsy was performed. Pathological examination of the specimen suggested the possibility of adenocarcinoma. Surgical excision was performed by means of laryngomicrosurgery. A Weerda-type laryngoscope was used to open the larynx, supplemented by rigid nasal sinus surgery endoscopes, and the right-hand half of the epiglottis were excised was ensured using a CO2 laser. Postoperative pathological diagnosis was negative for adenocarcinoma and squamous cell cancer; typical carcinoid was diagnosed according to the World Health Organization criteria. Aspiration occurred postoperatively, swallowing training was therefore provided, and the patient was discharged from hospital 2 months after surgery when he was able to eat normally. As of 4 years after surgery, the patient remains under follow-up observation by means of PET-CT and neck, thoracic, and abdominal CT administered at appropriate intervals, but no findings indicating obvious recurrence or metastasis have been observed, and the patient displays good swallowing function.