A2 Refereed review article in a scientific journal

Aggressive Subtypes of Laryngeal Chondrosarcoma and their Clinical Behavior: A Systematic Review




AuthorsPiazza, Cesare; Montenegro, Claudia; Tomasoni, Michele; Leivo, Ilmo; Stenman, Göran; Agaimy, Abbas; Simpson, Roderick H. W.; Zidar, Nina; Ferlito, Alfio

PublisherSpringer Science and Business Media LLC

Publication year2025

JournalOncology and therapy

Journal name in sourceOncology and Therapy

Volume13

First page 49

Last page67

ISSN2366-1070

eISSN2366-1089

DOIhttps://doi.org/10.1007/s40487-024-00323-1

Web address https://doi.org/10.1007/s40487-024-00323-1

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/485010727


Abstract
Introduction

Laryngeal chondrosarcoma (CS) is a rare indolent malignant tumor. High-grade (G3), dedifferentiated (DD), and myxoid (MY) CSs are considered more aggressive subtypes due to their metastatic potential and relatively poor outcomes. The aim of this systematic review is to evaluate treatment modalities and survival outcomes in patients affected by these rarer CS subtypes.

Methods

Papers published from January 1, 2000, to August 25, 2024, describing cases of laryngeal G3, DD, and MY CS were included.

Results

A total of 38 patients (15 G3, 13 DD, and 10 MY) were selected. Cricoid cartilage was the most common site of origin. Total laryngectomy (TL) was often performed. Primary conservative approaches in 42.8% of patients were followed by loco-regional recurrence.

Conclusions

Aggressive subtypes of CS require a radical approach because of the higher rate of loco-regional and distant recurrences compared to low-grade CS. TL with radical intent is the most common treatment, and adjuvant therapy should be considered after careful multidisciplinary discussion.


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Funding information in the publication
No funding or sponsorship was received for this study or publication of this article.


Last updated on 2025-13-06 at 15:30