A man in his mid-70s, heavy smoker with chronic alcohol consumption and a chronic exposure to insecticides and burning of crop residues was referred to the surgical oncology department because of a 4-month onset of hoarseness, dyspnoea and laryngeal stridor. He had a history of left nephrectomy due to Fuhrman IV clear cell renal cancer 2 years ago. The patient underwent a bronchoscopy which identified a deforming tumour of the left vallecula, occlusion of 90% of the lumen and did not allow a safe biopsy. Following discussion between the oncological team, total laryngectomy and bilateral neck dissection of levels II, III, IV and V were performed, finding a transglottic tumour of approximately 4×3 cm with extension to the right anterolateral thyroid cartilage. The pathology report described metastatic RCC. The patient recovered well postoperatively and started systemic therapy with a vascular endothelial growth factor receptors inhibitor.
Carcinoma, Renal Cell , Kidney Neoplasms , Laryngeal Neoplasms , Larynx , Male , Humans , Carcinoma, Renal Cell/surgery , Carcinoma, Renal Cell/secondary , Vascular Endothelial Growth Factor A , Laryngeal Neoplasms/diagnosis , Laryngeal Neoplasms/surgery , Laryngeal Neoplasms/pathology , Kidney Neoplasms/surgery , Kidney Neoplasms/pathology , Larynx/pathology