%0 Journal Article
%T Carcinosarcoma of the Hypopharynx¡ªA Rare Entity with Unique Surgical Procedure
%A Sangeet Kumar Agarwal
%A Satinder Singh
%A Shalabh Sharma
%A Asish Kumar Lahiri
%J International Journal of Otolaryngology and Head & Neck Surgery
%P 259-262
%@ 2168-5460
%D 2013
%I Scientific Research Publishing
%R 10.4236/ijohns.2013.26054
%X <p class=\"MsoNormal\">
	<span lang=\"EN-US\" style=\"font-family:Verdana;\">Background:</span><span lang=\"EN-US\" style=\"font-family:Verdana;\"> Carcinosarcoma of hypopharynx is a rare neoplasm with both
malignant epithelial and mesenchymal components. They are highly aggressive in
nature with controversial histogenesis. To our knowledge</span><span lang=\"EN-US\" style=\"font-family:Verdana;\">,</span><span lang=\"EN-US\"><span style=\"font-family:Verdana;\"> there
is no case reported of carcinosarcoma of hypopharynx managed with wide LASER
excision and modified radical neck dissection followed by chemoradiation. </span><span style=\"font-family:Verdana;\">Method and Result:</span><span style=\"font-family:Verdana;\"> 42</span></span><span lang=\"EN-US\" style=\"font-family:Verdana;\">-</span><span lang=\"EN-US\" style=\"font-family:Verdana;\">year</span><span lang=\"EN-US\" style=\"font-family:Verdana;\">-</span><span lang=\"EN-US\" style=\"font-family:Verdana;\">old male
presented complaints of foreign body sensation in throat, </span><span lang=\"EN-US\" style=\"font-family:Verdana;\">and </span><span lang=\"EN-US\" style=\"font-family:Verdana;\">difficulty
in swallowing and hoarseness for 4 months. On examination, a large smooth
globular mass filling the supraglottis obscuring the view of endolarynx was
noted and right side level-II cervical lymphadenopathy was found. CECT neck
revealed a large hypopharyngeal mass abutting the supraglottis.
Microlaryngoscopic biopsy was reported as high grade carcinosarcoma and PET
scan was done after 1</span><span lang=\"EN-US\"> </span><span lang=\"EN-US\" style=\"font-family:Verdana;\">week which revealed no any distant metastasis. </span><span lang=\"EN-US\" style=\"font-family:Verdana;\">The p</span><span lang=\"EN-US\" style=\"font-family:Verdana;\">atient
was taken for transoral pulsed carbon dioxide LASER excision with modified
radical neck dissection</span><span lang=\"EN-US\" style=\"font-family:Verdana;\">,</span><span lang=\"EN-US\" style=\"font-family:Verdana;\"> and postoperative chemoradiation was done and
after two years of closed follow</span><span lang=\"EN-US\" style=\"font-family:Verdana;\">-</span><span lang=\"EN-US\" style=\"font-family:Verdana;\">up MRI was done which revealed no disease and </span><span lang=\"EN-US\" style=\"font-family:Verdana;\">the </span><span lang=\"EN-US\"><span style=\"font-family:Verdana;\">patient
is absolutely free of disease till now. </span><span style=\"font-family:Verdana;\">Conclusion: </span><span style=\"font-family:Verdana;\">It </span></span><span
%K Carcinosarcoma
%K PET Scan
%K LASER
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=39334