Background: Voice outcomes following intervention for early glottic tumours have been reported but in small cohorts with short term follow-up.
Design: A non-randomised, comparative study involving retrospective review of T1 to T3 glottic lesions was performed with a 5 year follow-up period.
Results: 67 patients were identified. 31 underwent laser resection, and 36 had radiotherapy. Improved voice outcomes were seen in radiotherapy patients in the first year and long term recovery to a normal voice was statistically faster with radiotherapy.
Conclusions: Long term voice outcomes for radiotherapy and laser treatment are comparable although radiotherapy patients experience worse voice in the first year post treatment. The single treatment event and fewer side effects of laser excision make it a preferred option.
Objective: To report an unusual case of spinal metastasis following surgical resection and adjuvant radiotherapy for primary acinic cell carcinoma of the parotid gland.
Case Report: A 42-year-old gentleman was referred to our institution with a left parotid mass. Total parotidectomy and selective neck dissection was performed, confirming a diagnosis of acinic cell carcinoma. Recommendation following histological margin review was for adjuvant radiotherapy. Four months following completion of treatment the patient presented with lower limb neurological deficit. Magnetic resonance imaging identified multifocal spinal deposits within the thoracic and cervical vertebrae. Subsequent unresectable local and regional recurrence was detected on routine review.
Conclusion: We describe an interesting case of parotid actinic cell carcinoma metastasising to the thoracic spine, presenting with acute spinal cord compression. Treatment modalities, outcomes and prevalence of metastatic disease are discussed.