Clincopathological features and surgical treatment of laryngeal cancer

ABSTRACT

One hundred and fifty patients with laryngeal cancer were studied. The site of the primary tumor as determined by pathological examination of the postoperative specimens was supraglottic region in 86 cases [57.5%], glottic region in 59 cases [39.5%] and subglottic region in 5 cases [3%]. In 133 cases [88.6%] the cancer involved one hemilarynx, while both sides were involved in 17 cases [11.4%]. All cases were subjected to total laryngectomy, radical neck dissection was done in 36 patients [24.2%] and only 21 cases had histologically involved lymph nodes, while in 15 patients the lymph nodes were histologically negative. Pharyngeal fistula was the commonest postoperative complication, it occurred in 15.3% of cases but most of them closed spontaneously by conservative treatment