Laryngeal cancer: Difference between revisions
(Created page with "* A cancer of older men * 40% of head and neck cancers * SCC * Etiology ** Smoking ** Alcohol * Types ** Supraglottic *** 40% of cases *** Gives late symptoms ** Glottic *** Best prognosis because gives early symptoms (hoarseness) *** Limited lymphatic drainage *** 60% of cases ** Subglottic *** 1% of cases *** Gives late symptoms *** Dyspnoea *** Stridor * Clinical features ** Hoarseness ** Foreign body sensation ** Dyspnoea ** Dysphagia ** Stridor * Staging ** TNM ***...") |
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<section begin="oncology" /> | |||
* A cancer of older men | * A cancer of older men | ||
* 40% of head and neck cancers | * 40% of [[Head and neck cancer|head and neck cancers]] | ||
* SCC | * SCC | ||
* Etiology | * Etiology | ||
| Line 40: | Line 41: | ||
*** IV – T4 OR N1 OR M1 | *** IV – T4 OR N1 OR M1 | ||
* Treatment | * Treatment | ||
** Early – radiotherapy | ** Early – radiotherapy or laser resection | ||
** | ** Locally advanced cancer – radiochemotherapy or total laryngectomy | ||
** Neck dissection | ** Advanced cancer – total laryngectomy with adjuvant radiotherapy | ||
** Neck dissection to remove lymph nodes is indicated if N1 is suspected | |||
<section end="oncology" /><noinclude> | |||
<noinclude>[[Category:Ear, nose, throat (ENT)]]</noinclude> | [[Category:Ear, nose, throat (ENT)]] | ||
[[Category:Oncology]] | |||
</noinclude> | |||
Latest revision as of 13:46, 28 July 2024
- A cancer of older men
- 40% of head and neck cancers
- SCC
- Etiology
- Smoking
- Alcohol
- Types
- Supraglottic
- 40% of cases
- Gives late symptoms
- Glottic
- Best prognosis because gives early symptoms (hoarseness)
- Limited lymphatic drainage
- 60% of cases
- Subglottic
- 1% of cases
- Gives late symptoms
- Dyspnoea
- Stridor
- Supraglottic
- Clinical features
- Hoarseness
- Foreign body sensation
- Dyspnoea
- Dysphagia
- Stridor
- Staging
- TNM
- T1 – confined to one part of larynx
- T2 – invades another part of larynx
- T3 – tumor confined to larynx
- T4 – tumor invades outside the larynx
- N1 – single regional ipsilateral lymph node
- N3 – large regional lymph node
- M1 – distant metastasis
- AJCC stage
- 0 – in situ
- I – T1, N0, M0
- II – T2, N0, M0
- III – T3, N0, M0
- IV – T4 OR N1 OR M1
- TNM
- Treatment
- Early – radiotherapy or laser resection
- Locally advanced cancer – radiochemotherapy or total laryngectomy
- Advanced cancer – total laryngectomy with adjuvant radiotherapy
- Neck dissection to remove lymph nodes is indicated if N1 is suspected