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
DOI
10.1016/j.ijporl.2014.06.032