2000 Volume 93 Issue 11 Pages 967-970
We report two rare cases of spindle cell carcinomas of the larynx. A 65 year-old man with a left glottic spindle cell carcinoma (T1aN0) was treated with 60 Gy of radiation because of a cardiac infarction. The tumor has completely disappeared without recurrence for 6 years. Another case was a 59 year-old man with a left glottic spindle cell carcinoma (T1bN0). He was successfully treated with 60Gy of radiation. However, there was a recurrent carcinoma (rT2N0) 6 months after the treatment. Therefore, a total laryngectomy was performed.
Most laryngeal spindle cell carcinomas in Japan are found at an early stage. For these diseases, operative therapy rather than radiation therapy is recommended. It is believed that operative therapy without loss of laryngeal functions for an early staged laryngeal spindle cell carcinoma is the first choice of treatment, but radiation therapy could be a better choice.