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Vocal cords paralysis

Question
51 out of 58
 

The preferred treatment of verrucouse carcinoma of the larynx is:



A Pulmonary surgery
B Electron beam therapy

C Total laryngectomy
D Endoscopic removal

Ans. D Endoscopic removal

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

Verrucous Carcinoma

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.

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