Laryngeal chondrosarcoma: repeated laser and radiofrequency ablation in the palliative setting.
Fiche publication
Date publication
avril 2013
Auteurs
Membres identifiés du Cancéropôle Est :
Pr DOLIVET Gilles, Pr MARCHAL Frédéric, Dr CORTESE Sophie, Dr MASTRONICOLA Romina
Tous les auteurs :
Perrot C, Cortese S, Eluecque H, Mastronicola R, Sergeant C, Marchal F, Demet S, Dolivet G
Lien Pubmed
Résumé
OBJECTIVE: The purpose of this article is to illustrate the use of radiofrequency and laser ablation in head and neck oncology and to describe the management of a case of laryngeal chondrosarcoma in a 90-year-old patient. CASE REPORT: A 90-year-old man, WHO performance status 3, with low-grade laryngeal chondrosarcoma was seen in the outpatients department at the end of 2008 for assessment of dysphonia. Total laryngectomy was considered to be too invasive and was consequently excluded. The patient was initially tracheotomized under local anaesthesia to relieve dyspnoea and was subsequently managed symptomatically by radiofrequency and laser ablation to ensure laryngeal disobstruction, allowing the patient to be extubated followed by speech therapy and oral feeding rehabilitation. DISCUSSION/CONCLUSION: This patient received symptomatic palliative treatment with a combination of radiofrequency and laser. Radiofrequency ablation can be applied in head and neck oncology as an alternative treatment to surgery allowing improvement of quality of life and survival.
Référence
Eur Ann Otorhinolaryngol Head Neck Dis. 2013 Apr;130(2):91-3