Prof. Małgorzata Wierzbicka
Department of Otolaryngology and Laryngological Oncology
Poznań, University of Medical Sciences
66 years old, heavy smoker - 30 cigarettes per day for 25 years
Co-morbidities: hypertension, ischaemic heart disease, peripheral arterial disease,
Sympthoms: Dysphonia for 18 months, Hoarseness for 12 months
2014 - 3 times the microlaryngoscopy with biopsy: neoplasm was not confirmed in the histopathology
2015/05: the microlaryngoscopy : chronic laryngitis, dysplasia planoeptheliali, hyperplasia.
2015/11: Histopathology 595886/2015: Squamous cell carcinoma G1 and G2
Diagnosis: Laryngeal Cancer - T4N0M0
Surgical decision: OPHL-Open Partial Horizontal Laryngectomy type IIa
ENT examination at presentation: an exophytic, bulky, whitish tumor with the infiltration of the AC, spreading on the both vocal folds, penetrating down to the subglottic area, upwards to the ventricle. Fixation of the right vocal fold.
CT scan 30.11.2015: tumor mass of the right vocal and vestibular folds, circumferential spread to the left side of the glottis, involving of the left fold,crawling under the subglottic region. Single remarkable features of the cartilage involvement.