A 55 year old known smoker since 25 years presents with a low pitched voice. Endoscopy shows a mass limited to the vocal cord on the left. Biopsy is suggestive of laryngeal cancer type T1NO. Treatment of choice would be
Ans. is 'B' i.e., Radiotherapy [Ref: Dhingra 4th/e p. 284; class="normal">Treatment of glottic cancer:T, carcinoma : - Radiotherapy is the treatment of choice. Surgery is used only after they recur.Ti carcinoma with extension to anterior commissure : - The treatment of choice is radiotherapy. If it is unavailable, frontolateral paial laryngectomy is done with regular follow up. If it fails, total laryngectomy is performed.T, Ca with extension to arytenoid : - Treatment is same as above but surgery is preferredT, carcinoma : - Treatment depends on- i) Mobility of vocal cords, and ii) Involvement of anterior commissure and/or arytenoid :If mobility of cord is not impaired (cord is mobile) and anterior commissure and/or arytenoid not involved. Radiotherapy is the treatment of choice. In case of recurrence total laryngectomy or paial veical laryngectomy is done.
Veical paial hemilaryngectomy
Radiotherapy
Chemotherapy
Total laryngectomy with cervical lymph node dis section