Laryngeal Carcinoma

Rodrigo Arrangoiz MS, MD, FACS, FSSO
  • The larynx is divided into three regions:
    • Supraglottis
    • Glottis
    • Subglottis
  • The distribution of cancers is as follows:
    • 30% to 35% in the supraglottic region
    • 60% to 65% in the glottic region
    • 5% in the subglottic region
  • The incidence and pattern of metastatic spread to regional nodes vary with the primary region:
    • The lymphatic drainage of the glottis is:
      • Sparse and early-stage primaries rarely spread to regional nodes
    • Because hoarseness is an early symptom:
      • Most glottic cancers are early stage at diagnosis
    • Thus, glottic cancer has an excellent cure rate of 80% to 90%
    • Nodal involvement adversely affects survival rates and is rare in T1 to T2 disease
  • More than 50% of patients with supraglottic primaries:
    • Present with spread to regional nodes because of an abundant lymphatic network that crosses the midline:
      • Bilateral cervical metastases are not uncommon with early-stage supraglottic primaries:
        • Thus, supraglottic cancer is often locally advanced at diagnosis
#Arrangoiz #CancerSurgeon #HeadandNeckSurgeon #SurgicalOncologist #LarynxCancer #MountSinaiMedicalCenter #MSMC #Miami #Mexico

Published by Rodrigo Arrangoiz MS, MD, FACS, FSSO

My name is Rodrigo Arrangoiz I am a breast surgeon/ thyroid surgeon / parathyroid surgeon / head and neck surgeon / surgical oncologist that works at Center for Advanced Surgical Oncology in Miami, Florida. I was trained as a surgeon at Michigan State University from (2005 to 2010) where I was a chief resident in 2010. My surgical oncology and head and neck training was performed at the Fox Chase Cancer Center in Philadelphia from 2010 to 2012. At the same time I underwent a masters in science (Clinical research for health professionals) at the University of Drexel. Through the International Federation of Head and Neck Societies / Memorial Sloan Kettering Cancer Center I performed a two year head and neck surgery and oncology / endocrine fellowship that ended in 2016. Mi nombre es Rodrigo Arrangoiz, soy cirujano oncólogo / cirujano de tumores de cabeza y cuello / cirujano endocrino que trabaja Center for Advanced Surgical Oncology en Miami, Florida. Fui entrenado como cirujano en Michigan State University (2005 a 2010 ) donde fui jefe de residentes en 2010. Mi formación en oncología quirúrgica y e n tumores de cabeza y cuello se realizó en el Fox Chase Cancer Center en Filadelfia de 2010 a 2012. Al mismo tiempo, me sometí a una maestría en ciencias (investigación clínica para profesionales de la salud) en la Universidad de Drexel. A través de la Federación Internacional de Sociedades de Cabeza y Cuello / Memorial Sloan Kettering Cancer Center realicé una sub especialidad en cirugía de cabeza y cuello / cirugia endocrina de dos años que terminó en 2016.

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