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Hindi Case Report, J Otol Rhinol Vol: 3 Issue: 3
Laryngeal Cancer in a Patient with Amyotrophic Lateral Sclerosis
| Shintaro Yoshihara1*, Takahiro Asakage1, Yuki Saito1, Takaharu Nito1, Jun Shimizu2, Shoji Tsuji2 and Tatsuya Yamasoba1 | |
| 1Department of Otolaryngology and Head and Neck Surgery, University of Tokyo, Tokyo, Japan | |
| 2Department of Neurology, University of Tokyo, Tokyo, Japan | |
| Corresponding author : Shintaro Yoshihara Department of Otolaryngology and Head and Neck Surgery, University of Tokyo, 7-3-1, Hongo, Bunkyoku, Tokyo, Japan Tel: +81-3-5800-8665; Fax: +81-3-3814-9486 E-mail: yoshiharas.oto@gmail.com |
|
| Received: January 23, 2014 Accepted: April 19, 2014 Published: April 27, 2014 | |
| Citation: Yoshihara S, Asakage T, Saito Y, Nito T, Shimizu J, et al., (2014) Laryngeal Cancer in a Patient with Amyotrophic Lateral Sclerosis. J Otol Rhinol 3:3. doi:10.4172/2324-8785.1000154 |
Abstract
Laryngeal Cancer in a Patient with Amyotrophic Lateral Sclerosis
We present the case of a 75-year-old male patient with amyotrophic lateral sclerosis (ALS) who developed laryngeal cancer. He was diagnosed as having ALS with progressive bulbar symptoms at the age of 67, and underwent glottis closure and tracheostomy at the age of 71 to prevent aspiration. At the time, he could only move his eyes and toes and was totally dependent on a mechanical ventilator. At the age of 75, he showed swelling and redness around the tracheostoma and was diagnosed as having laryngeal squamous cell carcinoma, T4aN0M0. Total laryngectomy was performed with skin reconstruction using a delto-pectoral flap. Because of the recent improvement in the prognosis of ALS, it is important to consider appropriate treatment strategies for ALS patients with other fatal complications or diseases based on their will and quality of life.
