Year : 2013 | Volume : 29 | Issue : 3 | Page : 207--208
Simultaneous laryngeal squamous cell carcinoma and thyroid carcinoma in the contralateral lobe of a nonsmoker woman
Ezzeddin Elsheikh1, Mohammad W. Elanwar1, Hesham R. Abdel-aziz2
1 Department of Otolaryngology, Head and Neck Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt
2 Department of Pathology, Faculty of Medicine, Zagazig University, Zagazig, Egypt
We report a 60-year-old nonsmoker woman with laryngeal squamous cell carcinoma for which total laryngectomy and right conservative neck dissection was decided. Right hemithyroidectomy is usually a part of this procedure, but in this case, because of inadvertent ligation of the left inferior thyroid artery, total thyroidectomy was performed. A small nodule 0.5 cm of papillary microcarcinoma in the left lobe that was not diagnosed preoperatively was discovered in the final pathological examination. Therefore, ultrasound evaluation of the thyroid gland should be added to the work-up of all cases undergoing total laryngectomy and there is a need for new guidelines to treat incidental thyroid lesions in the context of laryngeal cancer.