4.2 Laryngeal Cancer Flashcards

1
Q

What is the most common treatment for laryngeal cancer?

A

Total Laryngectomy

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2
Q

What adult age range typically for laryngeal caner?

A

Age 50-70

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3
Q

What gender is most likely to get laryngeal cancer?

A

Males, but as smoking has increased in women, so have cancer rates

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4
Q

What is the death rate of laryngeal cancer?

A

30%

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5
Q

What does early diagnosis of laryngeal cancer provide?

A

Better outcomes

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6
Q

What are the etiologies of laryngeal cancer?

5

A
  • Highly associated with excessive smoking
  • Even higher when paired with alcohol use
  • Alcohol use alone has not be associated with laryngeal cancer
  • Exposure to other environmental pollution also indicated
  • Higher incidence and mortality rates for African American populations
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7
Q

What does this chart show?

Add chart from slide 15

A

A decrease in the prevalance of laryngeal cancer

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8
Q

What is the most common form of laryngeal cancer?

A

Squamous cell carcinoma

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9
Q

Where does squamous cell carinoma (laryngeal cancer) originate?

A

In the epithelial tissues

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10
Q

How does squamous cell carcinoma (laryngeal cancer) begin?

A

Begins with irregular thickening of the epithelial tissues

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11
Q

What may squamous cell carcinoma (laryngeal cancer) affect?

A

May affect vocal quality, so the SLP may be the first health care professional to see the patient

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12
Q

What are the other two common forms of laryngeal cancer?

A
  1. Chondrocardinoma

2. Chondrosarcoma

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13
Q

Where does Chondrocardinoma and Chondrosarcoma originate?

A

Originates in the laryngeal cartilages

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14
Q

Where are the three places with malignant neoplasms can happen?

A
  1. Supraglottic
  2. Glottic
  3. Subglottic
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15
Q

What are the different parts of the supraglottic area that can have a malignant neoplasm? (5)

Malignant neoplasms spread very quickly to what?

A
  1. False vocal folds
  2. Aryepiglottic folds
  3. Arytenoids
  4. Epiglottis
  5. Hypopharynx

lymph nodes

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16
Q

What are the different parts of the glottic area that can have a malignant neoplasm? (2)

How hard is it to detect malignant neoplasm in the glottic area?

A
  1. True vocal folds
  2. Anterior/posterior commissures

Easily detected

17
Q

What are the different parts of the subglottic area that can have a malignant neoplasm? (2)

A
  1. Cricoid cartilage

2. Trachea

18
Q

What are the three ways that cancer can spread?

A
  1. Enlargement
  2. Spread by the blood
  3. Metastasis
19
Q

What is the enlargement of cancer?

A

When cancer expands or grows

20
Q

How is cancer spread by the blood?

A

Usually in the veins that drain the tumor-generally ends up in the lungs. Not as common as enlargement and metastasis.

21
Q

what is the course of metastasis of cancer? (3)

A
  • Through the lymph nodes
  • Lymph is one of the fluids that bathes our tissues
  • It is collected in ducts that converge on the lymph nodes
22
Q

What are the symptoms of laryngeal cancer? (9)

A
  • Hoarseness
  • Cough
  • Pain or discomfort
  • Referred pain in the ear
  • Dysphagia
  • Foul breath
  • Dyspnea (may hear stridor)
  • Neck Swelling
  • Globus sensation
23
Q

What is globus sensation?

A

Sensation of a lump in the throat (usually only with larger tumors)

24
Q

What are the symbols for tumor staging?

A

Tx-T4

25
Q

What are the symbols for nodal involvement (N)?

A

Nx-N3c

26
Q

What are the symbols used for metastasis (M)?

A

Mx-M1

27
Q

What are the stages of cancer?

A

Stage 1 - Stage IV

28
Q

What are the reasons for using stroboscopy for examination? (2)

A
  • Direct visualization of vocal folds

- Rigid vs. flexible

29
Q

What are the other things to use during an examination? (4)

A
  • Acoustic analysis (F0, variation, range, intensity, jitter, shimmer)
  • EGG
  • Photoglottography
  • Biopsy