A case of metastatic lung adenocarcinoma in the subglottis

A 79-year old woman visited Kyoto University Hospital with stridor and dyspnea. She had a history of lung adenocarcinoma and had undergone a partial lung resection. Endoscopic, CT and MRI fíndings revealed a subglottic tumor and a tracheostomy was performed. Histologic examination of a specimen from the subglottic tumor proved it was a metastatic lung adenocarcinoma. Subglottic tumor resection was performed under direct laryngoscopy and external beam radiation therapy (3 GyxlO) was added postoperatively. The patient remained recurrence-free for over half a year till she died of carcinomatous pleurisy.