Revista Facultad de Medicina de la Universidad Nacional de Colombia
versão impressa ISSN 0120-0011
CADENA-PINEROS, Enrique; ROMERO-ROJAS, Alfredo Ernesto e VARGAS, Saúl Enrique. Laryngeal chondrosarcoma: a very unusual pathology. Rev.fac.med.unal [online]. 2011, vol.59, n.2, pp. 155-161. ISSN 0120-0011.
Chondrosarcoma is the third most frequently occurring bone tumor, following myeloma and osteosarcoma; it accounts for around 20% of all malign bone tumors. They are usually localized in the long bones and the bones of the pelvis; only 2% to 5% are located in the head and neck, mainly in the maxillary bone. Initial symptoms are usually very bizarre and sometimes only a sensation of having a neck mass means that a patient goes to see a doctor. Due to the larynx's intimate relationship with the thyroid gland, this tumor may give a false diagnostic impression. As happened in this case, a patient consulted due to level 4 mass (central neck area), echography of the thyroid nodule and fine needle aspiration (FNA) having proved positive for thyroid goiter. The presence of an invasive thyroid carcinoma was suspected in the TAC due to infiltration of the cricoid cartilage; a well-differentiated diagnosis of chondrosarcoma (grade 1) was only made during surgical intervention orientated by biopsy following intraoperation exposure and the definitive study of the pathology. This case has been reported and the topic reviewed as it was difficult case to diagnose and involved a very infrequently occurring pathology.
Palavras-chave : chondrosarcoma; larynx; neoplams.