Abstract:Small cell carcinoma is rarely found to originate from the hypopharynx and there exists no treatment guidelines due to the small number of cases. Here, we present a case of a female patient with metastatic small cell carcinoma originating from the posterior hypopharynx with lymph node involvement. Her treatment consisted of chemotherapy with etoposide and cisplatin as well as radiation therapy. Her post-treatment computed tomography (CT) scan indicated resolution of the disease at the primary site and follow-u… Show more
“…Conversely, current literature includes only a limited number of pure hypopharyngeal NECs. 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 Table 1 summarises their main characteristics.…”
Section: Discussionmentioning
confidence: 99%
“…Conversely, current literature includes only a limited number of pure hypopharyngeal NECs 9–25 . Table 1 summarises their main characteristics.…”
Section: Discussionmentioning
confidence: 99%
“…7 Literature supports the evidence that the best treatment available for poorly differentiated NECs of the larynx is platinum-based chemotherapy with concomitant radiotherapy, although surgery alone has also been proposed, as well as surgery followed by chemoradiotherapy (CRT). 7,8 The limited number of patients presenting with a NEC of the hypopharynx have seemingly been treated with multimodal therapy, achieving differing outcomes.. [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23] The work was carried out at Northwick Park Hospital Watford road HA1 3UJ, Harrow, London, UK.…”
Section: Introductionmentioning
confidence: 99%
“…The limited number of patients presenting with a NEC of the hypopharynx have seemingly been treated with multimodal therapy, achieving differing outcomes. 9–23 …”
Background
Primary neuroendocrine carcinomas (NECs) are very rare entities accounting for 0.49% of all malignancies. Within the head and neck, the most common sites are the larynx and paranasal sinuses, while the hypopharynx is seldom described.
Case
We present a patient with a poorly differentiated metastatic NEC of the hypopharynx treated palliatively with organ‐preserving surgery and post‐operative chemotherapy, and literature review for well‐documented pure hypopharyngeal NECs. Our patient died of chest infection during chemotherapy, 4 months after surgery.
Conclusion
Chemotherapy remains the mainstay of treatment in the presence of metastases with 2‐year overall survival of 15.7%. Due to the aggressive nature of poorly differentiated metastatic NECs, surgical management is seldom considered. We report and advocate the successful palliative role of organ‐preserving, minimally invasive trans‐oral LASER micro‐surgery and neck dissection to control loco‐regional head and neck disease, safe‐guarding better quality of home life, despite limited life expectancy for this condition.
“…Conversely, current literature includes only a limited number of pure hypopharyngeal NECs. 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 Table 1 summarises their main characteristics.…”
Section: Discussionmentioning
confidence: 99%
“…Conversely, current literature includes only a limited number of pure hypopharyngeal NECs 9–25 . Table 1 summarises their main characteristics.…”
Section: Discussionmentioning
confidence: 99%
“…7 Literature supports the evidence that the best treatment available for poorly differentiated NECs of the larynx is platinum-based chemotherapy with concomitant radiotherapy, although surgery alone has also been proposed, as well as surgery followed by chemoradiotherapy (CRT). 7,8 The limited number of patients presenting with a NEC of the hypopharynx have seemingly been treated with multimodal therapy, achieving differing outcomes.. [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23] The work was carried out at Northwick Park Hospital Watford road HA1 3UJ, Harrow, London, UK.…”
Section: Introductionmentioning
confidence: 99%
“…The limited number of patients presenting with a NEC of the hypopharynx have seemingly been treated with multimodal therapy, achieving differing outcomes. 9–23 …”
Background
Primary neuroendocrine carcinomas (NECs) are very rare entities accounting for 0.49% of all malignancies. Within the head and neck, the most common sites are the larynx and paranasal sinuses, while the hypopharynx is seldom described.
Case
We present a patient with a poorly differentiated metastatic NEC of the hypopharynx treated palliatively with organ‐preserving surgery and post‐operative chemotherapy, and literature review for well‐documented pure hypopharyngeal NECs. Our patient died of chest infection during chemotherapy, 4 months after surgery.
Conclusion
Chemotherapy remains the mainstay of treatment in the presence of metastases with 2‐year overall survival of 15.7%. Due to the aggressive nature of poorly differentiated metastatic NECs, surgical management is seldom considered. We report and advocate the successful palliative role of organ‐preserving, minimally invasive trans‐oral LASER micro‐surgery and neck dissection to control loco‐regional head and neck disease, safe‐guarding better quality of home life, despite limited life expectancy for this condition.
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