A case of carcinoma larynx with the involvement of anterior commissure and right vocal cord, developed perichondritis of thyroid cartilage. Which of the following statements is true for the management of this case -
(A) He should be given radical radiotherapy as this can cure early tumors (B) He should be treated with combination of chemotherapy and radiotherapy (C) He should first receive radiotherapy and if residual tumor is present then should undergo laryngectomy (D) He should first undergo laryngectomy and then post-operative radiotherapy
(D) Perichondritis of thyroid cartilage in a patient of Ca larynx suggests invasion of thyroid cartilage i.e. stage T4.
Stage T4 lesions glottic cancer earlier were managed by total laryngectomy with neck dissection for clinically positive nodes and post operative radiotherapy if nodes are not palpable.
These days chemoradiation is preferred.