Chondrosarcoma of the Larynx and Possibility of Conservative Surgery

Chondrosarcoma, a sub mucosal hard, slow growing and local aggressive tumor, is the most frequent mesenchymal neoplasm of the larynx. Diagnosis is supported both by clinical appearance and radiological evaluation, even because a biopsy is not always easy to obtain, due to its hardness. Laryngeal chondrosarcomas are histologically differentiated as low-, intermediateand high-grade lesions and total laryngectomy was considered the common treatment, even if nowadays, conservative open neck or endoscopic surgery, especially for low-grade lesions, is reported in several studies published in the literature. We discuss seven cases of laryngeal chondrosarcoma treated at our institution with different types of conservative surgery. The aim of this article is to assess the role of conservative treatments regarding the management of laryngeal chondrosarcomas, based upon personal experience and reviewing the literature data.