Chapter 107 : Management of Early Glottic CA

Question 1

An imaging which uses narrowed filtered wavelengths which may help determine normal from abnormal tissues

Answer 1

Narrow-band imaging

Question 2

Most common site of laryngeal SCCA

Answer 2

Glottis

Question 3

Most common cause of death in early glottic tumors

Answer 3

Second primary tumor (lung or head and neck)

Question 4

True or false: ChemoRT is an effective treatment for early glottic

Answer 4

FALSE

Question 5

An ablative approach to cancer; utilizes light in the presence of oxygen to activate photosensitizing agents that are selectively concentrated in cancer cells

Answer 5

Photodynamic therapy

Question 6

variables in the application of RT that affect tumor

Answer 6

1) Fraction size 2)total dose of radiation delivered, 3) treatment duration,
and 4) method of delivery

Question 7

What is the least dose of radiation that should be given in a standard radiation therapy (daily, 5x/wk)

Answer 7

2Gy

Question 8

Salvage partial laryngectomy is not possible according to Toma and colleagues in the following cases:

Answer 8

1) the arytenoid cartilage, except the vocal process; 2) beyond the anterior half of the contralateral vocal cord; 3) subglottically more than 10 mm in the anterior half or 5 mm in the posterior half of the larynx; or 4) the thyroid or cricoid cartilage

Question 9

After irradiation of the neck, what TFT should be monitored

Answer 9

TSH

Question 10

How often should TSH be monitored after irradiation of the neck

Answer 10

every 6-12 months