Multiple primary carcinoid of the larynx and trachea, complicated with decompensated stenosis

The carcinoid of the larynx and trachea is an extremely rare neuroendocrine tumor, which is not often being described in the literature. In the structure of malignant tumors of the respiratory tract, carcinoid occurs in 3–5% of cases. The prognosis for this disease largely depends on the process spread, the degree of tumor differentiation and narrowing of the lumen of the airway. In the presence of only a primary tumor, the average 5-year survival rate reaches 94%, but with the involvement of regional lymph nodes, the 5-year survival rate does not exceed 64%. In case of complication of the tumor with stenosis of the trachea or larynx, a fatal outcome or severe respiratory alterations can occur at the stage of preparation for surgery, which significantly affects long-term survival. In the available literature, we did not find publications on the successful treatment of patients with multiple primary carcinoid of the larynx and trachea in combination with tumor stenosis.

Clinical case. In this regard, in this article we want to present a treatment strategy on the example of a 34-year-old patient who underwent a combined operation: removal of carcinoid tumors of the larynx and trachea, resection of the cervical trachea and cricoid cartilage, tracheoplasty with the insertion of a T-shaped tube.

Keywords: combined operation, multiple primary carcinoid of the larynx and trachea, tumor stenosis of the respiratory tract, tracheal resection, laryngotracheostomy

Conflicts of interest. The authors have no conflicts of interest to declare.

Funding. There was no funding for this study.

For citation: Bazarov D.V., Grigorchuk A.Y., Pryanikov P.D., Abdumuradov K.A., Vyzhigina M.A., Magidin A.D., Claymi S.Z. Multiple primary carcinoid of the larynx and trachea, complicated with decompensated stenosis. Golova i sheya. Rossijskij zhurnal Head and neck Russian Journal. 2020;8(2):52–58 (in Russian).

 The authors are responsible for the originality of the data presented and the possibility of publishing illustrative material – tables, figures, photographs of patients.