İbrahim ÇUKUROVA, Erdem MENGİ, Murat GÜMÜŞSOY, Aytekin YAZ, Yusuf YALÇIN, Orhan Gazi YİĞİTBAŞI, Demet ETİT

Larenks karsinomu nedeniyle boyun diseksiyonu yapılan olgularda rastlantısal tiroid karsinomu: Olgu sunumu

Larenks kanseri tanısı ile cerrahi tedavi uygulanan olgularda boyun diseksiyonu spesimeninin histo- patolojik incelemesinde larenks kanseri metastazı dışında tiroid metastazına da rastlanmaktadır. Ocak 2008 ve Temmuz 2010 tarihleri arasında kliniğimizde larenks kanseri tanısı konulan ve total veya parsiyel larenjektomi ve boyun diseksiyonu uygulanan 74 olgunun dosyaları geriye dönük olarak incelendi. Parsiyel larenjektomi ve boyun diseksiyonu yapılan iki hastanın boyun diseksi- yonu spesimeninde tiroid papiller karsinomu sap- tandı. Tamamlayıcı tedavi olarak total tiroidektomi uygulandı. Olguların ameliyat sonrası ortalama 9.5 aylık dağılım 5-14 ay izlemlerinde herhangi bir nüks veya metastaz ile karşılaşılmadı. Nadir görülmesine rağmen larenks kanserlerinde eşza- manlı tiroid kanseri olasılığı ve gereğinde tamam- layıcı bir cerrahiye gidilebileceği her zaman akılda bulundurulmalıdır

Anahtar Kelimeler:

Larenks karsinomu, lenf nodu metastazı, skuamöz hücreli kanser, tiroid kanseri

Incidental thyroid carcinoma found during surgery for laryngeal carcinoma: a case report

At the histopathologic examination of neck dissection specimens of the patients who underwent surgical treatment with the diagnosis of laryngeal cancer, tyroid cancer metastases may also be detected in addition to laryngeal cancer metastases. Were retrospectively reviewed the files of 74 patients who were diagnosed with laryngeal cancer and underwent total or partial laryngectomy and neck dissection in our clinic between January 2008 and July 2010. Thyroid papillary carcinoma was found in neck dissection specimen of two patients who underwent partial laryngectomy and neck dissection. Total thyroidectomy was performed to complete the treatment. No recurrence or metastasis was found during the postoperative follow-up for an average of 9.5 months range 5 to 14 months . Although it is a rare condition, the possibility of coexisting thyroid carcinoma in laryngeal cancer patients and the possible need for completion surgery when required should always be kept in mind.

Keywords:

Laryngeal carcinoma, lymph node metastases, squamous cell carcinoma, thyroid carcinoma,

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