Prevalence:
More common in elderly males (6th – 7th decade of life).
Symptoms:
- Early: Vague throat discomfort or neck lump.
- Later: Progressive dysphagia to solids then to fluids, hoarseness of voice, referred otalgia.
Signs
- Cervical Glands: Enlarged, hard cervical glands may be the earliest sign.
- Indirect Laryngoscopy: Pool of mucus in the pyriform fossa covering a mass or ulcer.
Investigation
- Same as Post-Cricoid carcinoma.
Treatment
- Surgical: Laryngopharyngectomy (Glue’s operation) and block dissection.
- Irradiation: Before and after the operation.
