Abstract
Spindle cell carcinoma is a highly malignant cancer that is mainly composed of sarcomatous spindle cells. It is classified as a subtype of squamous cell carcinoma. The occurrence of spindle cell carcinoma in the hypopharynx is rare.
The patient was a 76-year-old man who visited our hospital complaining of discomfort in the throat. A pedunculated massive tumor originating in the posterior wall of the hypopharynx was observed by laryngoscopic examination. An endoscopic biopsy led to the diagnosis of angio sarcoma. A total laryngopharyngectomy, bilateral neck dissection, and reconstruction of the cervical esophagus using free jejunum transfer were performed. The pathological report for the surgical specimen was spindle cell carcinoma. The patient has had no recurrent tumor or metastases during the one year since the operation.
