Combination of Forestier’s disease and laryngeal cancer: a rare clinical case

The objective of the scientific report is to describe a rare clinical case of a combination of Forestier’s disease (diffuse idiopathic skeletal hyperostosis) and laryngeal cancer that have common symptoms. Case report. A 68-year-old male patient presented with hoarseness lasting for a year. Indirect...

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Main Authors: А. М. Zaytsev, А. P. Polyakov, М. V. Ratushny, Т. М. Kobyletskaya, S. А. Kisariev, А. L. Sugaipov, О. N. Kirsanova
Format: Article
Language:Russian
Published: ABV-press 2020-07-01
Series:Опухоли головы и шеи
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Online Access:https://ogsh.abvpress.ru/jour/article/view/530
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author А. М. Zaytsev
А. P. Polyakov
М. V. Ratushny
Т. М. Kobyletskaya
S. А. Kisariev
А. L. Sugaipov
О. N. Kirsanova
author_facet А. М. Zaytsev
А. P. Polyakov
М. V. Ratushny
Т. М. Kobyletskaya
S. А. Kisariev
А. L. Sugaipov
О. N. Kirsanova
author_sort А. М. Zaytsev
collection DOAJ
description The objective of the scientific report is to describe a rare clinical case of a combination of Forestier’s disease (diffuse idiopathic skeletal hyperostosis) and laryngeal cancer that have common symptoms. Case report. A 68-year-old male patient presented with hoarseness lasting for a year. Indirect laryngoscopy revealed a vocal fold tumor. Histological examination confirmed well-differentiated keratinizing squamous cell carcinoma of the larynx. A 6-cm tumor was located in the projection of the right vocal fold and had no signs of invasion into the supraglottis, subglottis, and anterior commissure. No other focal disorders were detected. The patient has undergone endolaryngeal laser resection of the larynx and tracheostomy. After probe removal, the patient had swallowing difficulties with esophageal content passing to the trachea mainly due to organic changes in the cervical spine at the СЗ–С4 level, where there was a massive local calcification of the anterior longitudinal ligament. We also noticed severe movement restriction in the cervical spine: the amplitude of movements did not exceed 10°. The formation of the C3–C4 segment was removed via ventrolateral approach. Conclusion. Dysphagia, dysphonia, and dyspnea may indicate both malignant tumor and large osteophyte causing compression of the trachea and esophagus. In this case, no symptom resolution after tumor removal led to the suspicion of a second disease, namely Forestier’s disease.
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series Опухоли головы и шеи
spelling doaj-art-3ee3d4d2bf0248dfb4b92fbb262ba8b62025-08-04T14:05:33ZrusABV-pressОпухоли головы и шеи2222-14682411-46342020-07-01102798410.17650/2222-1468-2020-10-2-79-84396Combination of Forestier’s disease and laryngeal cancer: a rare clinical caseА. М. Zaytsev0А. P. Polyakov1М. V. Ratushny2Т. М. Kobyletskaya3S. А. Kisariev4А. L. Sugaipov5О. N. Kirsanova6P.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiology Center, Ministry of Health of RussiaP.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiology Center, Ministry of Health of RussiaP.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiology Center, Ministry of Health of RussiaP.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiology Center, Ministry of Health of RussiaP.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiology Center, Ministry of Health of RussiaP.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiology Center, Ministry of Health of RussiaP.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiology Center, Ministry of Health of RussiaThe objective of the scientific report is to describe a rare clinical case of a combination of Forestier’s disease (diffuse idiopathic skeletal hyperostosis) and laryngeal cancer that have common symptoms. Case report. A 68-year-old male patient presented with hoarseness lasting for a year. Indirect laryngoscopy revealed a vocal fold tumor. Histological examination confirmed well-differentiated keratinizing squamous cell carcinoma of the larynx. A 6-cm tumor was located in the projection of the right vocal fold and had no signs of invasion into the supraglottis, subglottis, and anterior commissure. No other focal disorders were detected. The patient has undergone endolaryngeal laser resection of the larynx and tracheostomy. After probe removal, the patient had swallowing difficulties with esophageal content passing to the trachea mainly due to organic changes in the cervical spine at the СЗ–С4 level, where there was a massive local calcification of the anterior longitudinal ligament. We also noticed severe movement restriction in the cervical spine: the amplitude of movements did not exceed 10°. The formation of the C3–C4 segment was removed via ventrolateral approach. Conclusion. Dysphagia, dysphonia, and dyspnea may indicate both malignant tumor and large osteophyte causing compression of the trachea and esophagus. In this case, no symptom resolution after tumor removal led to the suspicion of a second disease, namely Forestier’s disease.https://ogsh.abvpress.ru/jour/article/view/530diffuse idiopathic skeletal hyperostosisforestier’s diseasedysphagialaryngeal cancer
spellingShingle А. М. Zaytsev
А. P. Polyakov
М. V. Ratushny
Т. М. Kobyletskaya
S. А. Kisariev
А. L. Sugaipov
О. N. Kirsanova
Combination of Forestier’s disease and laryngeal cancer: a rare clinical case
Опухоли головы и шеи
diffuse idiopathic skeletal hyperostosis
forestier’s disease
dysphagia
laryngeal cancer
title Combination of Forestier’s disease and laryngeal cancer: a rare clinical case
title_full Combination of Forestier’s disease and laryngeal cancer: a rare clinical case
title_fullStr Combination of Forestier’s disease and laryngeal cancer: a rare clinical case
title_full_unstemmed Combination of Forestier’s disease and laryngeal cancer: a rare clinical case
title_short Combination of Forestier’s disease and laryngeal cancer: a rare clinical case
title_sort combination of forestier s disease and laryngeal cancer a rare clinical case
topic diffuse idiopathic skeletal hyperostosis
forestier’s disease
dysphagia
laryngeal cancer
url https://ogsh.abvpress.ru/jour/article/view/530
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AT tmkobyletskaya combinationofforestiersdiseaseandlaryngealcancerarareclinicalcase
AT sakisariev combinationofforestiersdiseaseandlaryngealcancerarareclinicalcase
AT alsugaipov combinationofforestiersdiseaseandlaryngealcancerarareclinicalcase
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