Laryngeal Cancer
Introduction
Laryngeal cancer is one of the most common cancers of head and neck. It is predominantly found in men and mostly in those with history of tobacco smoking and alcohol intake. It is divided into three major anatomic regions; supraglottis, glottis and subglottic.
Management: General concept
Stage I and II
Management-Primary site: Partial or total laryngectomy OR radiotherapy alone.
Stage III–IVB
Management-Concurrent chemoradiation or total Laryngectomy and neck dissection followed by adjuvant radiotherapy or chemo radiotherapy
Stage IVC
Management-Palliative
Signs and Symptoms
Diagnostic criteria
Hoarseness, stridor, difficulty in breathing, neck mass, odynophagia, cough
Investigation
FPC, RFT, LFT
Chest X-ray
CT scan and/or MRI of the neck
Laryngoscopy
Pathology: Definitive diagnosis is confirmed by laryngoscopy-guided biopsy of the primary tumor
Staging: TNM.
Treatment
-
Pharmacological
-
-
Non-pharmacological
-
Prevention
Updated on,
5 Novemba 2020, 10:45:45
References
1.STG