6th European Laryngological
Live Surgery Broadcast

24th November 2021 | 9.00 - 16.00 CET (GMT+1)


Case
Prof. Giorgio Peretti (Genoa)

80 y/o
ex smoker (40p/y)
no alcohol abuse
no allergies
Comorbidities: COPD, Benign Prostatic Hyperplasia, hypercholesterolemia
No assumption anticoagulant/antiplatelet drug
Presentation: intermittent odynophagia, especially on the left side started in October 2020, associated with mild progressive dysphonia and occasional otalgia. The patient denies dysphagia, dyspnoea and haemoptysis.
No lymphadenomegalies.
Solid focal lesion, characterized by inhomogeneous contrasting impregnation, which protrudes and projects inside the vestibule of the larynx, occupying and narrowing its lumen. The most cranial portion of the lesion starts from the anterior aspect of the laryngeal vestibule, affects the left ariepiglottic fold, narrows the left piriform sinus, coming into posterior contact with the hypopharynx. The lesion has a transverse diameter of 15 mm on the axial plane and an antero-posterior diameter of 21 mm and on the sagittal plane, in front of the soma C5, a cranio-caudal extension of 17 mm. In the more caudal scans on the larynx, conditioned by patient's movement, there is a doubtful involvement of the left true vocal cord. There is no significant sclerosis and osteo-structural alteration aspect of the main cartilages of the neck. No lymph adenomegaly in neck. No suspicious lung's lesions.


Stadiation TNM 8th edition: cT2N0 supraglottic cancer



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