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Vol. 52. Issue 7.
Pages 603-606 (October 2001)
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Vol. 52. Issue 7.
Pages 603-606 (October 2001)
Condrosarcoma crico-traqueal
Crico-tracheal chondrosarcoma
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1883
E. Aznar1, J. Nogués, J. Moya, R.D. Ramírez, B. García, M. Maños, M. Dicenta
Ciudad sanitaria y universitaria de bellvitge. Barcelona.
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Resumen

El condrosarcoma es el tumor mesenquinal (no epidermoide) más frecuente de la laringe, a pesar de su rareza. Las técnicas de imagen, y la estrecha colaboración de los anatomopatólogos con los cirujanos, han permitido que el número de casos diagnosticados en los últimos años haya crecido de forma considerable. Su principal localización es la subglotis. La aparición tardía de los síntomas hace que el diagnóstico se retrase. Éste se orienta por medio de TC y se confirmará por el análisis anatomopatológico de la pieza quirúrgica. La distinción histológica del grado de malignidad constituye un reto para el patólogo, habiéndose descrito distintos criterios para ello. Su comportamiento biológico tiende hacia la recurrencia locorregional, en íntima relación con el grado de indiferenciación. El tratamiento de elección es la resección quirúrgica, conservadora en lo posible, siendo obligado el seguimiento de cerca para detectar las recurrencias. Se presenta un caso tratado en nuestro Centro, que nos llevó a realizar una revisión sobre el tema, y las conclusiones obtenidas.

Palabras Clave:
Condrosarcoma
Laringe
Abstract

Chondrosarcoma is the most frequent mesenchimal tumor (nonepithelial) of the larynx. Radiographic studies and colaboration of pathologists have allowed that the number of cases diagnosticated has increased considerably in the last few years. His privileged site is the subglotis. The late apparition of the symptoms delay the diagnosis, which is guided by CT scan and will be confirmed by histological examination of the surgical piece. The histological dinstiction between the differents degrees of malignancy constitutes one challenge for the pathologist, so far, various criteria have been described for that aim. His biological behaviour is characterized by locoregional recurrence, in direct correlation with the grade of dedifferentiation. The treatment of choice is conservative surgical resection, and a regular follow up is obliged for early detection of recurrences and metastases. A case treated in our Center is presented, and the conclusions obteined after a literature review of the subject.

Key Words:
Chondrosarcoma
Larynx

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