Vocal cords paralysis
Treatment of choice in stage III carcinoma larynx is: (AIIMS May 2011)
|B||Surgery + radiation|
|C||Surgery + chemotherapy|
Treatment of Ca Larynx
Glottic and subglottic lesion Supraglottic lesion
External beam radio therapy/Microlaryngeal surgery
Total laryngectomy with neck dissection for clinically positive nodes and post operative radiotherapy
if nodes are not palpable
According to current otolaryngology 21e pg- 446
• Advance stage larynx cancer (stage III and IV) was historically treated by dual modality therapy with surgery and radiation.
• Surgery done was - Total laryngectomy
In stage III - Organ preservation surgery along with radiation (radiotherapy + chemotherapy) has become a standard of care in most centres.
Chemotherapy used is - 3 cycles of Cisplatinum and 5-FU
In stage IV - organ preservation surgery is not useful because of cartilaginous invasion. Hence in stage IV. Total laryngectomy with radiotherapy
is still being done.
As per the options given in the question - there is no such option as surgery + chemoradiation Hence we are going with surgery + Radiotherapy as TOe in stage III cancer.