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Laryngeal Neoplasm
Aka: Laryngeal Neoplasm, Laryngeal tumor, Vocal Cord cancer
- Epidemiology
- Incidence highest over 60 years old
- Men more commonly affected
- Pathophysiology
- Squamous Cell Carcinoma (90% of malignant Larynx)
- Risk
- Tobacco abuse
- Alcohol Abuse
- Elderly
- Symptoms
- Chronic Hoarseness (longer than 2 weeks)
- Pharyngitis
- Otalgia
- Dysphagia
- Dyspnea
- Signs: Laryngeal Exam
- Early Findings
- Small, white Plaques or erythematous Nodule
- Findings may be subtle
- Advanced findings
- Exophytic mass lesion or Ulceration on Vocal Cords
- Immobility of the vocal cord may suggest invasion
- Management
- Surgical excision with or without radiation
- Prognosis:
- Five year survival if lesion on true cords: >80%
- Five year survival if lesion above true cords: >50%