Title

Complicated pediatric subglottic granular cell tumor with extensive intraluminal and extraluminal invasion

Publication Date

2014

Journal Title

Int J Pediatr Otorhinolaryngol

Abstract

Subglottic granular cell tumors (GCT) are rare, potentially life threatening benign tumors. Complete resection is necessary, yet care must be taken to preserve laryngeal function. We present the first description of a pediatric subglottic GCT with extensive invasion beyond the confines of the subglottis to include the vocal folds and central neck. Urgent endoscopic debulking avoided tracheotomy and facilitated extubation. Later, complete resection required hemithyroidectomy, laryngofissure and partial cricotracheal resection. We conclude that endoscopic debulking is an appropriate initial treatment. Transmural extension should be suspected in tumors larger than 1 cm and warn of the need for tracheal resection. (C) 2014 Elsevier Ireland Ltd. All rights reserved.

Volume Number

78

Issue Number

9

Pages

1563-1565

Document Type

Article

EPub Date

2014/07/22

Status

Faculty; Northwell Researcher

Facility

School of Medicine; Northwell Health

Primary Department

Otolaryngology

Additional Departments

Cardiovascular and Thoracic Surgery

PMID

25042669

DOI

10.1016/j.ijporl.2014.06.032