糸井, 瑞恵

井尻, 美輪

浅井, 俊一

荒木, 章伸

ITOI, Mizue

IJIRI, Miwa

ASAI, Shunichi

ARAKI, Akinobu

[ABSTRACT] Recurrent laryngeal nerve palsy due to a malignant tumor often occurs due to infiltration of thyroid cancer, esophageal cancer or lung cancer, and lymph node metastasis. Recurrent laryngeal nerve palsy due to metastasis of uterine cervical cancer is extremely rare. An 83-year-old woman visited our hospital for detailed examinations and treatment of uterine cervical cancer. She had a bulky cervical tumor and tumor metastasis to the para-aortic, mediastinal and supraclavicular lymph nodes. Due to her poor general condition, she and her family selected palliative treatment. Since she complained of hoarseness, we consulted otolaryngologists. They diagnosed bilateral recurrent laryngeal nerve palsy, and an emergency tracheotomy was performed. Postoperatively, she was provided with the best supportive care. She died 45 days after surgery. Although gynecological cancers often metastasize to mediastinal and supraclavicular lymph nodes, it is unusual for them to need a tracheostomy. Patients with malignancy who present with hoarseness should be carefully evaluated because recurrent laryngeal nerve palsy can be life-threatening.

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