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Controversies. T1 squamous cell carcinoma of the true vocal cord

✍ Scribed by Snyderman, Nancy L. ;Marks, Richard ;Clark, Keith ;Wetmore, Stephen J.

Publisher: Wiley (John Wiley & Sons)
Year: 1988
Weight: 209 KB
Volume: 10
Category: Article
ISSN: 0148-6403
DOI: 10.1002/hed.2890100714

No coin nor oath required. For personal study only.

✦ Synopsis

T h e diversified armamentarium for treating T1 carcinomas of the glottis has led most head and neck surgeons to expect high cure rates. Yet controversy persists. Concern centers around which modality is most straightforward and which offers the best posttreatment voice. With new "conservative" forms of treatment, is the overall approach most "radical"?

A 52-year-old salesman presented with a 4month history of hoarseness. He smoked 1% packs of cigarettes a day and drank 1 or 2 beers each day. He denied dysphagia, odynophagia, or weight loss. Direct laryngoscopy revealed a lesion of the right true vocal cord. The anterior commissure appeared free of disease and both vocal cords are mobile. A biopsy confirmed a TlNOMO moderately well-differentiated squamous cell carcinoma (Figure 1). The remainder Readers are invited to submit particularly difficult cases for consideration to

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