Laryngeal cancer surgery: Difference between revisions

Jump to navigation Jump to search
No edit summary
No edit summary
 
(15 intermediate revisions by 3 users not shown)
Line 1: Line 1:
__NOTOC__
__NOTOC__
{{Laryngeal cancer}}
{{Laryngeal cancer}}
{{CMG}}
{{CMG}} {{AE}}{{OK}}
 
==Overview==
==Overview==
The feasibility of [[surgery]] depends on the stage of laryngeal cancer at the time of [[diagnosis]]. The goal of treatment is to completely remove the [[tumor]], achieve [[tumor]] free margins and prevent the spread. The options of [[surgery]] can be transoral [[laser surgery]], transoral [[robotic surgery]], total [[laryngectomy]], and total [[laryngectomy]] with partial pharyngectomy
==Surgery==
==Surgery==
The goal of treatment is to completely remove the cancer and prevent it from spreading to other parts of the body.
The goal of treatment is to completely remove the [[tumor]], achieve [[tumor]] free margins and prevent the spread. The following options of [[surgery]] can be considered on a case by case basis:
 
* Transoral [[laser surgery]] <ref name="pmid17413407">{{cite journal |vauthors=Ambrosch P |title=The role of laser microsurgery in the treatment of laryngeal cancer |journal=Curr Opin Otolaryngol Head Neck Surg |volume=15 |issue=2 |pages=82–8 |date=April 2007 |pmid=17413407 |doi=10.1097/MOO.0b013e3280147336 |url=}}</ref><ref name="pmid24970297">{{cite journal |vauthors=Zeitels SM, Burns JA |title=Oncologic efficacy of angiolytic KTP laser treatment of early glottic cancer |journal=Ann. Otol. Rhinol. Laryngol. |volume=123 |issue=12 |pages=840–6 |date=December 2014 |pmid=24970297 |doi=10.1177/0003489414538936 |url=}}</ref>
When the tumor is small, either surgery or radiation therapy alone can be used to remove the tumor.
* Transoral [[robotic surgery]] <ref name="pmid23008093">{{cite journal |vauthors=Mendelsohn AH, Remacle M, Van Der Vorst S, Bachy V, Lawson G |title=Outcomes following transoral robotic surgery: supraglottic laryngectomy |journal=Laryngoscope |volume=123 |issue=1 |pages=208–14 |date=January 2013 |pmid=23008093 |doi=10.1002/lary.23621 |url=}}</ref><ref name="pmid23918439">{{cite journal |vauthors=Lallemant B, Chambon G, Garrel R, Kacha S, Rupp D, Galy-Bernadoy C, Chapuis H, Lallemant JG, Pham HT |title=Transoral robotic surgery for the treatment of T1-T2 carcinoma of the larynx: preliminary study |journal=Laryngoscope |volume=123 |issue=10 |pages=2485–90 |date=October 2013 |pmid=23918439 |doi=10.1002/lary.23994 |url=}}</ref>
 
* Total [[laryngectomy]]<ref name="pmid2034244">{{cite journal |vauthors=Wolf GT, Fisher SG, Hong WK, Hillman R, Spaulding M, Laramore GE, Endicott JW, McClatchey K, Henderson WG |title=Induction chemotherapy plus radiation compared with surgery plus radiation in patients with advanced laryngeal cancer |journal=N. Engl. J. Med. |volume=324 |issue=24 |pages=1685–90 |date=June 1991 |pmid=2034244 |doi=10.1056/NEJM199106133242402 |url=}}</ref>
Some patients need surgery to remove the tumor, including all or part of the vocal cords (laryngectomy). If you have a laryngectomy, speech therapy can help you learn other ways to talk.
* Total [[laryngectomy]] with partial pharyngectomy <ref name="pmid22492697">{{cite journal |vauthors=Lefebvre JL, Andry G, Chevalier D, Luboinski B, Collette L, Traissac L, de Raucourt D, Langendijk JA |title=Laryngeal preservation with induction chemotherapy for hypopharyngeal squamous cell carcinoma: 10-year results of EORTC trial 24891 |journal=Ann. Oncol. |volume=23 |issue=10 |pages=2708–14 |date=October 2012 |pmid=22492697 |doi=10.1093/annonc/mds065 |url=}}</ref><ref name="pmid8656441">{{cite journal |vauthors=Lefebvre JL, Chevalier D, Luboinski B, Kirkpatrick A, Collette L, Sahmoud T |title=Larynx preservation in pyriform sinus cancer: preliminary results of a European Organization for Research and Treatment of Cancer phase III trial. EORTC Head and Neck Cancer Cooperative Group |journal=J. Natl. Cancer Inst. |volume=88 |issue=13 |pages=890–9 |date=July 1996 |pmid=8656441 |doi= |url=}}</ref>
 
Many patients also need swallowing therapy after treatment to help them adjust to the changes in the structure of the throat.Surgery (removing the cancer in an operation) is a common treatment for all stages of laryngeal cancer. The following surgical procedures may be used:
 
*Cordectomy:  
**Surgery to remove the vocal cords only.
*Supraglottic laryngectomy:
**Surgery to remove the supraglottis only.
*Hemilaryngectomy:
**Surgery to remove half of the larynx (voice box). A hemilaryngectomy saves the voice.
*Partial laryngectomy:
**Surgery to remove part of the larynx (voice box). A partial laryngectomy helps keep the patient's ability to talk.
Total laryngectomy: Surgery to remove the whole larynx. During this operation, a hole is made in the front of the neck to allow the patient to breathe. This is called atracheostomy.
*Thyroidectomy:  
**The removal of all or part of the thyroid gland.
*Laser surgery:  
**A surgical procedure that uses a laser beam (a narrow beam of intense light) as a knife to make bloodless cuts in tissue or to remove a surface lesion such as a tumor.
 
Even if the doctor removes all the cancer that can be seen at the time of the surgery, some patients may be given chemotherapy or radiation therapy after surgery to kill any cancer cells that are left. Treatment given after the surgery, to lower the risk that the cancer will come back, is called adjuvant therapy.


==References==
==References==
{{reflist|2}}
{{reflist|1}}


{{WikiDoc Help Menu}}
{{WikiDoc Help Menu}}
Line 37: Line 19:
[[Category:Disease]]
[[Category:Disease]]
[[Category:Types of cancer]]
[[Category:Types of cancer]]
[[Category:Up-To-Date]]
[[Category:Oncology]]
[[Category:Medicine]]
[[Category:Otolaryngology]]

Latest revision as of 00:46, 20 March 2019

Laryngeal cancer Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Laryngeal cancer from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Staging

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Laryngeal cancer surgery On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Laryngeal cancer surgery

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Laryngeal cancer surgery

CDC on Laryngeal cancer surgery

Laryngeal cancer surgery in the news

Blogs on Laryngeal cancer surgery

Directions to Hospitals Treating Laryngeal cancer

Risk calculators and risk factors for Laryngeal cancer surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Omer Kamal, M.D.[2]

Overview

The feasibility of surgery depends on the stage of laryngeal cancer at the time of diagnosis. The goal of treatment is to completely remove the tumor, achieve tumor free margins and prevent the spread. The options of surgery can be transoral laser surgery, transoral robotic surgery, total laryngectomy, and total laryngectomy with partial pharyngectomy

Surgery

The goal of treatment is to completely remove the tumor, achieve tumor free margins and prevent the spread. The following options of surgery can be considered on a case by case basis:

References

  1. Ambrosch P (April 2007). "The role of laser microsurgery in the treatment of laryngeal cancer". Curr Opin Otolaryngol Head Neck Surg. 15 (2): 82–8. doi:10.1097/MOO.0b013e3280147336. PMID 17413407.
  2. Zeitels SM, Burns JA (December 2014). "Oncologic efficacy of angiolytic KTP laser treatment of early glottic cancer". Ann. Otol. Rhinol. Laryngol. 123 (12): 840–6. doi:10.1177/0003489414538936. PMID 24970297.
  3. Mendelsohn AH, Remacle M, Van Der Vorst S, Bachy V, Lawson G (January 2013). "Outcomes following transoral robotic surgery: supraglottic laryngectomy". Laryngoscope. 123 (1): 208–14. doi:10.1002/lary.23621. PMID 23008093.
  4. Lallemant B, Chambon G, Garrel R, Kacha S, Rupp D, Galy-Bernadoy C, Chapuis H, Lallemant JG, Pham HT (October 2013). "Transoral robotic surgery for the treatment of T1-T2 carcinoma of the larynx: preliminary study". Laryngoscope. 123 (10): 2485–90. doi:10.1002/lary.23994. PMID 23918439.
  5. Wolf GT, Fisher SG, Hong WK, Hillman R, Spaulding M, Laramore GE, Endicott JW, McClatchey K, Henderson WG (June 1991). "Induction chemotherapy plus radiation compared with surgery plus radiation in patients with advanced laryngeal cancer". N. Engl. J. Med. 324 (24): 1685–90. doi:10.1056/NEJM199106133242402. PMID 2034244.
  6. Lefebvre JL, Andry G, Chevalier D, Luboinski B, Collette L, Traissac L, de Raucourt D, Langendijk JA (October 2012). "Laryngeal preservation with induction chemotherapy for hypopharyngeal squamous cell carcinoma: 10-year results of EORTC trial 24891". Ann. Oncol. 23 (10): 2708–14. doi:10.1093/annonc/mds065. PMID 22492697.
  7. Lefebvre JL, Chevalier D, Luboinski B, Kirkpatrick A, Collette L, Sahmoud T (July 1996). "Larynx preservation in pyriform sinus cancer: preliminary results of a European Organization for Research and Treatment of Cancer phase III trial. EORTC Head and Neck Cancer Cooperative Group". J. Natl. Cancer Inst. 88 (13): 890–9. PMID 8656441.


Template:WikiDoc Sources