Determine laryngeal carcinoma staging according to the time of presentation

الملخص

Background:
Early laryngeal carcinoma with no cervical lymph node metastasis disease carries more good prognosis in which the disease was eradicable, maintaining function so the prognosis depend on the time of presentation of the disease and considerable importance is attached to the early detection of the disease because comprehensive treatment in its early stage is associated with a very good prognosis. Aim of study:
To know the demographic distribution, types, grading and staging of laryngeal carcinoma at time of presentation.
Patients & Methods:
Twenty patients diagnosed as carcinoma of the larynx included in current study were seen in outpatient clinic in ENT department Al-Yarmouk teaching hospital from April 2017 to April 2018.History,clinical examination including laryngeal examination (full ENT examination, fiber optic examination of the larynx and neck examination) and general examination. Investigations done for all patients depend on the time of presentation, direct laryngoscopy and biopsy taken from the site of the lesion from all patients under general anesthesia, radiological evaluation(neck CT scan, chest X rays) done for all patients and data collected in questionnaire.
Results:
Most common type of Ca. larynx is SCC 100% (20 patients), with well differentiated 60% (12 patients); Hoarseness is the most common symptom about 60% (12 patients); the most common region involved is supraglottic 50% (10 patients) followed by glottic 30% (6 patients). The early regional presentation is glottic 57% (4 patients); Ca. larynx staging T1N0 is the common in early presentation 40% (8 patients) and L.N. metastasis as late presentation 30% (6 patients).
Conclusion:
Supraglottic region is the most commonly demographic area involved in carcinoma of larynx. Squamous cell carcinoma is the most common type with predominantly well differentiated histologically. Glottictumours is the most early in presentation. Lymph nodes metastasis more in supraglottic as indicate late presentation.