Laryngeal cancer: Difference between revisions
No edit summary |
No edit summary |
||
Line 1: | Line 1: | ||
<section begin="oncology" /> | <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 47: | Line 47: | ||
<section end="oncology" /><noinclude> | <section end="oncology" /><noinclude> | ||
[[Category:Ear, nose, throat (ENT)]] | [[Category:Ear, nose, throat (ENT)]] | ||
[[Category:Oncology]]</noinclude> | [[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