Abstract

Adenoid cystic carcinoma of the larynx is very rare and only 31 cases have been reported in Japanese literature in the last 30 years.A 44-year-old-woman complained of hoarseness and dyspnea. Fiberscopic examination revealed fixation of the right vocal cord and a smooth mass involving the subglottic area. An excisional biopsy was performed with laryngeal microsurgery. The pathological diagnosis was adenoid cystic carcinoma.The patient underwent total laryngectomy with a right modified neck dissection and subsequent radiation therapy of 50 Gy.She has remained well for the last 24 months without any evidence of recurrence and metastasis.

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