Case Series


Subglottic chondrosarcoma treated with transoral laser microsurgery: Case series and literature review

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1 Faculty of Medicine, Dalhousie University, Halifax, NS, Canada

2 MD, Division of Otolaryngology–Head and Neck Surgery, Dalhousie University, Halifax, NS, Canada

3 MD, FRCPC, Division of Otolaryngology–Head and Neck Surgery, Dalhousie University, Halifax, NS, Canada

4 MD, MPH, FRCSC, Division of Otolaryngology–Head and Neck Surgery, Dalhousie University, Halifax, NS, Canada

5 MD, FRCSC, Division of Otolaryngology–Head and Neck Surgery, Dalhousie University, Halifax, NS, Canada

6 MD, FRCSC, FACS, Division of Otolaryngology–Head and Neck Surgery, Dalhousie University, Halifax, NS, Canada

Address correspondence to:

Jenna MacDonald

Faculty of Medicine, Dalhousie University, 1459 Oxford Street, Halifax, NS, B3H 4R2,

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Article ID: 101138Z01JM2020

doi: 10.5348/101138Z01JM2020CS

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How to cite this article

MacDonald J, Forner D, Bullock M, Rigby M, Corsten M, Trites J, Taylor SM. Subglottic chondrosarcoma treated with transoral laser microsurgery: Case series and literature review. Int J Case Rep Images 2020;11:101138Z01JM2020.

ABSTRACT


Introduction: Subglottic chondrosarcoma (SGC) is a rare entity that is traditionally treated with open resection. We detail two cases treated with CO2 transoral laser microsurgery (TLM) and present a literature review of minimally invasive approaches to this disease. Retrospective chart review and search of English language literature are important methods of data collection.

Case Series: Two patients were identified. Both presented with worsening dyspnea and stridor. One patient had intermediate grade disease and the other had low grade disease. Both patients were successfully treated with TLM and remain disease free at 42 and 17 months respectively with good voice and functional outcomes.

Conclusion: We present two cases of SGC treated with curative intent minimally invasive TLM. In both cases, there is no evidence of disease recurrence or functional limitation at follow-up. These findings are in line with the favorable oncological and functional outcomes demonstrated in the literature describing SGC treatment with TLM.

Keywords: Chondrosarcoma, Conservative surgery, Larynx, Subglottic, Transoral laser microsurgery

SUPPORTING INFORMATION


Author Contributions

Jenna MacDonald - Substantial contributions to conception and design, Interpretation of data, Drafting the article, Final approval of the version to be published

David Forner - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published

Martin Bullock - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published

Matthew Rigby - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published

Martin Corsten - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published

Jonathan Trites - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published

S Mark Taylor - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published

Guarantor of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2020 Jenna MacDonald et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.