Nonsurgical Treatment

Radiation is the primary nonsurgical treatment for stage I and II laryngeal cancer. Chemotherapy plays a very small role except in certain bulky T2 tumors which would require a total laryngectomy for resection. The role of combination therapy involving chemotherapy and radiation will be discussed extensively in the next chapter.

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Figure 9-17. A, Endoscopic view of a right-sided T1 vocal cord lesion amenable to endoscopic excision. B, Endoscopic view after resection of the lesion.

Figure 9-16.

gectomy.

Surgical specimen from supracricoid subtotal laryn-

Figure 9-17. A, Endoscopic view of a right-sided T1 vocal cord lesion amenable to endoscopic excision. B, Endoscopic view after resection of the lesion.

Figure 9-18. A, Bilateral jugular node dissection encompasses lymph nodes at levels II, III and IV. B, Lymph node bearing specimen from a bilateral jugular node dissection.

Figure 9-18. A, Bilateral jugular node dissection encompasses lymph nodes at levels II, III and IV. B, Lymph node bearing specimen from a bilateral jugular node dissection.

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