Commentary

Breast Cancer and Vocal Cord Paralysis

Authors: KENT C. WESTBROOK MD, A. J. BALLANTYNE MD, NYLENE E. ECKLES MD, GEORGE R. BROWN MD

Abstract

AbstractThirty-seven potients with breast cancer and vocal cord paralysis are reviewed. Cord paralysis was caused by metastatic cancer in 32, radiation fibrosis in two, and miscellaneous causes in three. The left cord was affected more frequently than the right. The mechanism of production was compression of the vagus or recurrent laryngeal nerves by nodal metastases in the neck or mediastinum. Patients with cord paralysis caused by metastatic cancer frequently have cervical node metastases as their first recurrence. Survival after the onset of cord paralysis is usually short, but long-term survival occurs. No specific treatment is indicated unless respiratory distress is severe.

This content is limited to qualifying members.

Existing members, please login first

If you have an existing account please login now to access this article or view purchase options.

Purchase only this article ($25)

Create a free account, then purchase this article to download or access it online for 24 hours.

Purchase an SMJ online subscription ($75)

Create a free account, then purchase a subscription to get complete access to all articles for a full year.

Purchase a membership plan (fees vary)

Premium members can access all articles plus recieve many more benefits. View all membership plans and benefit packages.

References