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Mucoepidermoid carcinoma of the larynx

Published online by Cambridge University Press:  29 June 2007

V. L. Cumberworth ,
A. Narula ,
K. A. MacLennan  and
P. J. Bradley
V. L. Cumberworth*
Affiliation:
Head and Neck Oncology Clinic, Department of Otolaryngology, University Hospital, Queen's Medical Centre, Nottingham.
A. Narula
Affiliation:
Head and Neck Oncology Clinic, Department of Otolaryngology, University Hospital, Queen's Medical Centre, Nottingham.
K. A. MacLennan
Affiliation:
Head and Neck Oncology Clinic, Department of Otolaryngology, University Hospital, Queen's Medical Centre, Nottingham.
P. J. Bradley
Affiliation:
Head and Neck Oncology Clinic, Department of Otolaryngology, University Hospital, Queen's Medical Centre, Nottingham.
*
Mr. V. L. Cumberworth, 34 Penrith Avenue, Shepshed, Nr. Loughborough, Leics. LE12 9NB.
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Abstract

We report two cases of poorly differentiated mucoepidermoid carcinoma of the larynx which both remain well after surgical management. The first underwent a radical neck dissection for recurrent disease following radiotherapy and the second a total laryngectomy with elective post-operative radiotherapy.

Although well differentiated (‘low grade’) mucoepidermoid tumours of the larynx may respond to radiotherapy surgical management is generally recommended for all grades of such tumours especially for poorly differentiated (‘high grade’) tumours. Elective post-operative radiotherapy is often advocated for high grade tumours; radical neck dissection is generally undertaken only in the presence of lymphadenopathy, although elective radical neck dissection has been proposed for high grade tumours. These cases emphasise the value of comprehensive surgical management for this condition.

Such laryngeal tumours are difficult to diagnose histologically from biopsy and are often initially reported as squamous cell carcinoma.

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 4 , April 1989 , pp. 420 - 423
Copyright
Copyright © JLO (1984) Limited 1989

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