Ch 13 - Larynx Flashcards

1
Q

Tx

Supraglottis

A

Primary tumor cannot be assessed

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2
Q

Tis

Supraglottis

A

Carcinoma in situ

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3
Q

T1

Supraglottis

A

Tumor limited to one subsite of supraglottis with normal vocal cord mobility

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4
Q

T2

Supraglottis

A

Tumor invades mucosa of more than one adjacent subsite of supraglottis or glottis or region outside the supraglottis (e .g., mucosa of base of tongue, vallecula, medial wall of pyriforrn sinus) without fixation of the larynx

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5
Q

T3

Supraglottis

A

Tumor limited to larynx with vocal cord fixation and/or invades any of the following: postcricoid area, preepiglottic space, paraglottic space, and/or inner cortex of thyroid cartilage

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6
Q

T4a

Supraglottis

A

Moderately advanced local disease
Tumor invades through the outer cortex. of the thyroid cartilage and/or invades tissues beyond the larynx (e.g ., trachea, soft tissues of neck including deep extrinsic muscle of the tongue, strap muscles, thyroid, or esophagus)

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7
Q

T4b

Supraglottis

A

Very advanced local disease

Tumor invades prevertebral space, encases carotid artery, or invades mediastinal structures

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8
Q

Tx

Glottis

A

Primary tumor cannot be assessed

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9
Q

Tis

Glottis

A

Carcinoma in situ

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10
Q

T1

Glottis

A

Tumor limited to the vocal cord(s) (may involve anterior or posterior commissure) with normal mobility

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11
Q

T1a

Glottis

A

Tumor limited to one vocal cord

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12
Q

T1b

Glottis

A

Tumor involves both vocal cords

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13
Q

T2

Glottis

A

Tumor extends to supraglottis and/or subglottis,

and/or with impaired vocal cord mobility

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14
Q

T3

Glottis

A

Tumor limited to the larynx with vocal cord
fixation and/or invasion of paraglottic space and/
or inner cortex of the thyroid cartilage

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15
Q

T4a

Glottis

A

Moderately advanced local disease
Tumor invades through the outer cortex of
the thyroid cartilage and/or invades tissues
beyond the larynx (e.g., trachea, cricoid cartilage,
soft tissues of neck including deep extrinsic
muscle of the tongue, strap muscles, thyroid, or
esophagus)

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16
Q

T4b

Glottis

A

Tumor invades prevertebral space , encases carotid

artery, or invades mediastinal structures

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17
Q

Tx

Subglottis

A

Primary tumor cannot be assessed

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18
Q

Tis

Subglottis

A

Carcinoma in situ

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19
Q

T1

Subglottis

A

Tumor limited to the subglottis

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20
Q

T2

Subglottis

A

Tumor extends to vocal cord(s) with normal or

impaired mobility

21
Q

T3

Subglottis

A

Tumor limited to larynx with vocal cord fixation
and/or invasion of paraglottic space and/or inner
cortex of the thyroid cartilage

22
Q

T4a

Subglottis

A

Moderately advanced local disease
Tumor invades cricoid or thyroid cartilage and/or
invades tissues beyond the larynx (e.g., trachea,
soft tis sues of neck including deep extrinsic
muscles of the tongue, strap muscles, thyroid, or
esophagus)

23
Q

T4b

Subglottis

A

Very advanced local disease
Tumor invades prevertebral space, encases carotid
artery, or invades mediastinal structures

24
Q

cNx

A

Regional lymph nodes cannot be assessed

25
Q

cN0

A

No regional lymph node metastasis

26
Q

cN1

A

Metast asis in a single ipsilateral lymph node, 3 cm

or smaller in greatest dimen sion and ENE(-)

27
Q

cN2a

A

Metastasis in a single ipsilateral node, larger than
3 cm but not larger than 6 cm in greatest
dimension and ENE(-)

28
Q

cN2b

A

Metast ases in multiple ipsilateral nodes, none

larger than 6 cm in greatest dimension and ENE(-)

29
Q

cN2c

A
Metastasis in bilateral or contralateral lymph
nodes, none larger than 6 cm in greatest dimension
and ENE(-)
30
Q

cN3a

A

Metastasis in a lymph node, larger than 6 cm in

greatest dimension and ENE(-)

31
Q

cN3b

A

Metastasis in any lymph node(s) with clinically

ove rt ENE(+)

32
Q

pNx

A

Regional lymph nodes cannot be assessed

33
Q

pN0

A

No regional lymph node metastasis

34
Q

pN1

A

Metastasis in a single ipsilateral lymph node,
3 cm or smaller in greatest dimension and
ENE(-)

35
Q

pN2a

A

Metastasis in a single ipsilateral or contralateral
node, 3 cm or smaller in greatest dimension and
ENE(+);
or metastasis in a single ipsilateral node, larger
than 3 cm but not larger than 6 cm in greatest
dimension and ENE(-)

36
Q

pN2b

A

Metastases in multiple ipsilateral nodes, none
larger than 6 cm in greatest dimension and
ENE(-)

37
Q

pN2c

A

Metastasis in bilateral or contralateral lymph
nodes, none larger than 6 cm in greatest
dimension and ENE(-)

38
Q

pN3a

A

Metastasis in a lymph node, larger than 6 cm in

greatest dimension and ENE(-)

39
Q

pN3b

A

Metastasis in a single ipsilateral node, larger
than 3 cm in greatest dimension and ENE(+);
or metastases in multiple ipsilateral,
contralateral, or bilateral lymph nodes and any
with ENE(+)

40
Q

What is the stage for:

Tis N0 M0

A

Stage 0

41
Q

What is the stage for:

T1 N0 M0

A

Stage I

42
Q

What is the stage for:

T2 N0 M0

A

Stage II

43
Q

What is the stage for:

T3 N0 M0

A

Stage III

44
Q

What is the stage for:

T1,2,3 N1 M0

A

Stage III

45
Q

What is the stage for:

T4a N0,1 M0

A

Stage IVA

46
Q

What is the stage for:

T1,2,3,4a, N2, M0

A

Stave IVA

47
Q

What is the stage for:

Any T N3 M0

A

Stage IVB

48
Q

What is the stage for:

T4b Any N M0

A

Stage IVB

49
Q

What is the stage for:

Any T Any N M1

A

Stage IVC