종설

이상와 암육종 치험 1례

고중화1, 전상훈1, 정연훈1
Joong-Wha Koh1, Sang Hoon Chun1, Youn-Hoon Chung1
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1아주대학교 의과대학 이비인후과학교실
1A Case Report of Carcinosarcoma arising from Pyriform Sinus

© Copyright 1998 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

Carcinosarcomas are unusual neoplasms which are histologically biphasic, having both squamous cell carcinomas and an apparently malignant spindle cells or sarcomatous elements. Controversy as to the histogenesis of these tumors have resulted in diverse terminology to describe including sarcomatoid carcinomas, pseudosarcomas, carcinosarcomas and spindle cell carcinomas.

The clinical course and natural history of these tumors are also controversial ; superficial tumors have a good prognosis, whereas invasive tumors have a prognosis worse than all squamous cell carcinomas of similar sites.

In this report, we encounterd a case of carcinosarcoma originating from the pyriform sinus in a 47 year old male patient who complained dyspnea.

The patient was managed with neoadjuvant chemotherapy followed by total laryngopharyngectomy, bilateral neck dissection and gastric pull-up. A review of literature concerning carcinosarcomas is discussed.

Keywords: Carcinosarcoma; Pyriform sinus