Malignant Neoplasms of the Larynx

  • 1-5% of all malignancies
  • All are squamous cell carcinomas
  • Symptoms:
    • Hoarseness, aspiration, dysphagia, stridor, weight loss
  • Risks:
    • Smoking, alcohol, radiation exposure.
  • Classification:
    • Supraglottic:
      • 30-40% of laryngeal Ca
      • 25-75% nodal metastasis
    • Glottic:
      • 50-75%
      • Limited regional metastasis
    • Subglottic:
      • Rare
      • 20% regional metastasis
  • Treatment:
    • Radiotherapy
    • Hemilaryngectomy. Total laryngectomy + neck dissection