67 and old man

Current smoker (TI:40 packs/year)

TUR (05/19/21): Infiltrating papillary urothelial ca. G3- 08/30/21: Robotic cystectomy and Bricker.

Jul-24. Main complaint: episodes of whooping cough (conditioned syncope). Evaluated by ENT, fluent voice, correct phonatory time.

Examination: nonspecific supraglottic and retrocricoid swelling with nonpathologic NBI pattern. Leukoplastic lesion in middle and anterior 1/3 of LVC, flat.

Plan: - ENT control in 3 months, according to evolution evaluate cordectomy - We insisted on smoking cessation.

Oct-24. SNF: leukoplastic lesion has grown in the middle and anterior 1/3 of the IVC. Ventricle and AC appears free. Subglottis ok.Good motility.

Explain need of excision-biopsy and treatment options. Tc pending.

Plan: TOLMS