Laryngectomy: Difference between revisions
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'''Laryngectomy''' | '''Laryngectomy''' is the surgical removal of the [[larynx]]. | ||
==Introduction== | ==Introduction== | ||
The usual indication is [[laryngeal cancer]]. | The usual indication is high stage [[laryngeal cancer]].<ref name=pmid31136370>{{cite journal |authors=Bates JE, Amdur RJ, Morris CM, Hitchcock KE, Dziegielewski PT, Boyce BJ, Silver NL, Shaw C, Mendenhall WM |title=Curative-dose Chemoradiotherapy Versus Total Laryngectomy For Stage T3-T4 Squamous Cell Carcinoma of the Larynx: An "Apples-to-Apples" Analysis of the National Cancer Database |journal=Am J Clin Oncol |volume=42 |issue=6 |pages=527–533 |date=June 2019 |pmid=31136370 |doi=10.1097/COC.0000000000000550 |url=}}</ref> | ||
==Specimen opening== | ==Specimen opening== | ||
==Protocol== | ==Protocol== | ||
The specimen | The specimen is a: [total larynx/laryngopharyngectomy]. | ||
Components | Components: | ||
*Pharyngeal tissue (superior-inferior, left-to-right, anterior-posterior): ___ x ___ x ___ cm; integrity: [intact/disrupted]. | *Pharyngeal tissue (superior-inferior, left-to-right, anterior-posterior): ___ x ___ x ___ cm; integrity: [intact/disrupted]. | ||
*Laryngectomy (superior-inferior, left-to-right, anterior-posterior): ___ x ___ x ___ cm; integrity: [intact/disrupted]. | *Laryngectomy (superior-inferior, left-to-right, anterior-posterior): ___ x ___ x ___ cm; integrity: [intact/disrupted]. | ||
*Thyroid gland [total/partial]: (superior-inferior, left-to-right, anterior-posterior): ___ x ___ x ___ cm; integrity: [intact/disrupted]; appearance [including parenchyma]. | *Thyroid gland [total/partial [left/right]]: (superior-inferior, left-to-right, anterior-posterior): ___ x ___ x ___ cm; integrity: [intact/disrupted]; appearance [including parenchyma]. | ||
*Tracheal stoma: [describe/not present]. | *Tracheal stoma: [describe/not present]. | ||
Latest revision as of 14:44, 13 November 2020
Laryngectomy is the surgical removal of the larynx.
Introduction
The usual indication is high stage laryngeal cancer.[1]
Specimen opening
Protocol
The specimen is a: [total larynx/laryngopharyngectomy].
Components:
- Pharyngeal tissue (superior-inferior, left-to-right, anterior-posterior): ___ x ___ x ___ cm; integrity: [intact/disrupted].
- Laryngectomy (superior-inferior, left-to-right, anterior-posterior): ___ x ___ x ___ cm; integrity: [intact/disrupted].
- Thyroid gland [total/partial [left/right]]: (superior-inferior, left-to-right, anterior-posterior): ___ x ___ x ___ cm; integrity: [intact/disrupted]; appearance [including parenchyma].
- Tracheal stoma: [describe/not present].
Tumour:
- Location: [oropharynx,nasopharynx,hypopharynx,state laterality, supraglottis, glottis, transglottis].
- Dimensions (superior-inferior, left-to-right, anterior-posterior): ___ x ___ x ___ cm.
- Appearance: [polypoid,exophytic,endophytic,multifocal].
- Extent of invasion: [epiglottis,aryepiglottic fold,arytenoid,trachea,vocal cords,other stuctures].
Soft Tissue margins:
- Distal (trachea): ___ cm.
- Proximal (epiglottic): ___ cm.
- Anterior: ___ cm.
- Posterior: ___ cm.
- Left lateral: ___ cm.
- Right lateral: ___ cm.
- Other: ___ cm.
Mucosal margins:
- Anterior: ___ cm.
- Posterior: ___ cm.
- Lateral: ___ cm.
- Deep: ___ cm.
Neck dissection: [dimensions, bilateral, radical, modified, selective] Lymph nodes: [dimensions, describe].
Representative sections are submitted as follows: [blocks].
Protocol notes
Staging
Alternate approaches
See also
Related protocols
References
- ↑ Bates JE, Amdur RJ, Morris CM, Hitchcock KE, Dziegielewski PT, Boyce BJ, Silver NL, Shaw C, Mendenhall WM (June 2019). "Curative-dose Chemoradiotherapy Versus Total Laryngectomy For Stage T3-T4 Squamous Cell Carcinoma of the Larynx: An "Apples-to-Apples" Analysis of the National Cancer Database". Am J Clin Oncol 42 (6): 527–533. doi:10.1097/COC.0000000000000550. PMID 31136370.