Difference between revisions of "Laryngectomy"

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==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==

Revision as of 14:43, 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 consists of [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]: (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

  1. 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.

External links