Vocal cords paralysis
Supraglottic Ca present with: [PGI June 10]
|A||Hot potato voice|
|C||Smoking is common risk factor|
|D||Pain is MC manifestation|
|E||Lymph node metastasis is uncommon|
Ref. Devita 7th/ed p 698; Scott's Brown Zth/ed vol-2 pg-2608; Mohan Bansal p S06
f. It is the second most common laryngeal cancer (most common is glottic cancer).
g. Most common initial symptom - pain on swallowing. (option d is correct)
h. Most common / first sign - mass is neck.
i. Small supraglottic lesions not extending to glottis - may present with globus or foreign body sensation and parasthesia
j. If exophytic they may cause hemoptysis
k. Large tumors can cause "hot potato voice" (Option 'a' is correct)
l. Hoarseness is a late symptom.
m. Smoking is a risk for all laryngeal carcinomas. (option c is correct)
n. Lymphatic spread occurs early in case of supraglottic cancer. (as it has rich supply of lymphatics)
Hoarseness of voice is the presenting symptom in glottic carcinoma.