Laryngeal cancer physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Omer Kamal, M.D.[2], Jesus Rosario Hernandez, M.D. [3], Faizan Sheraz, M.D. [4]

Overview

Patients with laryngeal carcinoma are usually well appearing. Physical examination of patients with laryngeal carcinoma is usually remarkable neck swelling, hearing loss, and stridor.

Physical Examination

Appearance of the Patient

Physical examination of patients with laryngeal carcinoma is usually remarkable for[1][2] neck swelling, hearing loss, and stridor.

  • Patients with laryngeal carcinoma are usually well appearing

Ears

  • There may be diminished hearing

Throat

  • The throat may be erythematous

Neck

  • Neck swelling may be present
  • Swollen lymph nodes may be present
  • Laryngeal crepitus may be present

Lungs

  • Stridor may be present due to partial airway obstruction

Extremities

Painful paronychia in association with a scaly, erythematous, keratotic rash (papules and plaques) of the ears, nose, fingers, and toes (may be indicative of acrokeratosis paraneoplastica), which is associated with squamous cell carcinoma of the larynx

Gallery

References

  1. Jones TM, De M, Foran B, Harrington K, Mortimore S (May 2016). "Laryngeal cancer: United Kingdom National Multidisciplinary guidelines". J Laryngol Otol. 130 (S2): S75–S82. doi:10.1017/S0022215116000487. PMC 4873912. PMID 27841116.
  2. Jovanović MB (2008). "[Diagnosis of laryngeal carcinoma]". Med. Pregl. 61 (11–12): 591–5. PMID 19368278.


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