Abstract
Spindle cell carcinoma (so-called carcinosarcoma) consisting of squamous cell carcinoma and sarcoma-like components is rare.
An 82-year-old man came to our clinic complaining of hoarseness and slight dyspnea. Since his tumor appeared to be a large polypoid lesion of the right vocal cord and the supraglottic space was stenotic, we tried to remove the mass to alleviate his dyspnea using laryngeal forceps. However, a part of the mass was stuck in the glottic area, and emergency endotracheal intubation and tracheostomy were performed because of severe dyspnea. A large part of the tumor was removed under laryngo-micro-surgery, followed by radiation therapy totaling 72 Gy for 2 months. The patient is still in good condition with no evidence of recurrence or metastasis today 14 months after the termination of therapy.
It is generally agreed that most cases of spindle cell carcinoma of the larynx are not invasive, unlike squamous cell carcinoma. Based on a review of the literature, surgery or radiation therapy seems mostly effective for this type of lesion. In the future, it will be necessary to clarify the clinical specificity of this lesion.
