Vocal cords paralysis
The preferred treatment of verrucouse carcinoma of the larynx is:
|B||Electron beam therapy|
Ref. Current otolaryngology 21e d pg-444, 31e, p 463 Ref. Scotts Brown lied vol-Z pg-2604 - Table - 794.3 Turner 7 Ole, p 769
• Verrcous carcinoma makes up only 1-2% of laryngeal carcinomas.
• The larynx is the second most common site of occurence in the head and neck after the oral cavity.
• Most common site of involvement is vocal cord.
• Grossly, verrucous carcinoma appears as a fungating, papillomatous, grayish white neoplasm.
• Microscopically, it is well differentiated squamous cell carcinoma with minimal cytological atypis.
• It has low metastatic potential
• Hoarseness is the most common presented symptom. Pain and dysphagia may occur but are less common.
• Treatment of most verrucous tumors is primary surgery. Endoscopic laser surgery is appropriate as the tumor is less aggressie than usual squamous cell carcinoma.