Laryngectomy

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Laryngectomy is the surgical removal of the larynx.

Introduction

The usual indication is laryngeal cancer.

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

External links