Metachronous sinonasal squamous-cell carcinoma after pharyngolaryngectomy

Three laryngectomized patients developed metachronous sinonasal squamous-cell carcinoma. We reviewed their files to search for clinical features useful for early diagnosis of this localization. Two of the patients, a textile worker and a food processing worker, had occupation exposure risk factors f...

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Bibliographic Details
Published inAnnales d'oto-laryngologie et de chirurgie cervico-faciale Vol. 121; no. 4; p. 241
Main Authors Morinière, S, Beutter, P, Gendre, C, Lescanne, E
Format Journal Article
LanguageFrench
Published France 01.09.2004
Subjects
Aged
Aged, 80 and over
Carcinoma, Squamous Cell - secondary
Female
Humans
Laryngeal Neoplasms - pathology
Laryngeal Neoplasms - surgery
Laryngectomy - methods
Male
Neoplasms, Second Primary - pathology
Otorhinolaryngologic Surgical Procedures - methods
Paranasal Sinus Neoplasms - secondary
Pharyngeal Neoplasms - pathology
Pharyngeal Neoplasms - surgery
Pharynx - pathology
Pharynx - surgery
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Summary:Three laryngectomized patients developed metachronous sinonasal squamous-cell carcinoma. We reviewed their files to search for clinical features useful for early diagnosis of this localization. Two of the patients, a textile worker and a food processing worker, had occupation exposure risk factors for sinonasal squamous-cell carcinoma. The anatomic modifications created by laryngectomy contributed to late diagnosis of the metachronous tumor at an advanced stage. Surgery was performed in all three patients. Local recurrence was observed at one year in two patients. Sinonasal fibroscopy should be part of the surveillance scheme in laryngectomized patients to enable early diagnosis and treatment of metachronous tumors.
ISSN:0003-438X