Indian clinical practice consensus guidelines for the management of laryngeal cancer

• Published in: Indian journal of cancer Vol. 57; no. 5; pp. 19 - 21
• Main Authors: Singhal, Manish, Prabhash, Kumar, Babu, Govind, Chaturvedi, Pankaj, Kuriakose, Moni, Birur, Praveen, Anand, Anil, Kaushal, Ashish, Mahajan, Abhishek, Syiemlieh, Judita, Gairola, Munish, Ramachandra, Prakash, Goyal, Sumit, John, Subashini, Nayyar, Rohit, Patil, Vijay, Rao, Vishal, Roshan, Vikas, Rath, G
• Format: Journal Article
• Language: English
• Published: India Wolters Kluwer India Pvt. Ltd 01.02.2020; Medknow Publications and Media Pvt. Ltd; Medknow Publications & Media Pvt. Ltd
• Subjects: Anesthesia; Cancer; Cancer therapies; Carboplatin; Cartilage; CAT scans; Cetuximab; Chemotherapy; Diagnostic imaging; Dissection; Endoscopy; Fiber optic equipment; Laryngeal cancer; Larynx; Lymphatic system; Medical examination; Microsurgery; Oral cancer; Practice guidelines (Medicine); Radiation therapy; Surgery; Tomography; Workflow software; Sri Lanka; India
• ISSN: 0019-509X; 1998-4774
• DOI: 10.4103/0019-509X.278973

Diagnosis Workflow for Evaluation of Clinical Stages Routine examination includes history and physical examination (with a complete head and neck exam, mirror and fiberoptic examination), a biopsy of primary site or fine-needle aspiration of the neck. Patients with arytenoid fixation, invasion of the posterior commissure, subglottic extension of more than 5 mm posteriorly and 5–10 mm anteriorly or to the upper border of the cricoid cartilage, cricoid cartilage invasion and major thyroid cartilage invasion (T4), massive pre-epiglottic space involvement, positive margins in a frozen section and extralaryngeal spread are not the candidates for organ preservation. For patients with glottic and supraglottic T4a, N0–3 larynx cancers, total laryngectomy with thyroidectomy ± unilateral/bilateral/contralateral neck dissection and paratracheal lymph node dissection, as indicated (depending on the node involvement) followed by adjuvant treatment (RT, or systemic therapy/RT may be considered), is recommended.