Hypopharyngeal cancer surgery
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Hypopharyngeal cancer Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Hypopharyngeal cancer surgery On the Web |
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American Roentgen Ray Society Images of Hypopharyngeal cancer surgery |
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Risk calculators and risk factors for Hypopharyngeal cancer surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Gertrude Djouka, M.D.[2], Faizan Sheraz, M.D. [3]
Overview
The feasibility of surgery depends on the stage of hypopharyngeal cancer at the time of diagnosis. The main goal of the surgery is clear any margin with tumor cells. The available surgery options are transoral laser surgery, total laryngectomy with partial pharyngectomy surgery, total laryngectomy and circumferential pharyngectomy.
Surgery
The feasibility of surgery depends on the stage of hypopharyngeal cancer at the time of diagnosis. Surgical resection is a better option in the following situations:[1]
- Small tumors where the surgical defect is minimal and functional restoration assured.
- Large tumors with spread beyond the primary site to involve bone or cartilage. These tumors rarely, if ever, respond to radial radiotherapy.
- Salvage of lesions unresponsive or recurrent after radiotherapy. Reconstructive techniques involving free flaps which bring a better blood supply to the area have allowed better healing in previously irradiated tissues where the blood supply has been diminished by radiation.
- Endolaryngeal and hypopharyngeal disease is now being successfully treated with endoscopic laser techniques where previously external partial procedures, and even total laryngectomy, may have been considered.
- When the tumor is small, either surgery or radiation therapy alone can be used to remove the tumor.
References
- ↑ Wei, William I. (2002). "The Dilemma of Treating Hypopharyngeal Carcinoma: More or Less". Archives of Otolaryngology–Head & Neck Surgery. 128 (3): 229. doi:10.1001/archotol.128.3.229. ISSN 0886-4470.