Head & Neck Oncology · NEET PG Preparation ENT
A 55-year-old chronic smoker and heavy drinker presents with a 4-month history of progressive hoarseness. Laryngoscopy reveals a 1 cm exophytic lesio…
Practice question from Head & Neck Oncology (NEET PG Preparation ENT), with the correct answer and a step-by-step solution.
medium · MCQ · Q-B9DB38
A 55-year-old chronic smoker and heavy drinker presents with a 4-month history of progressive hoarseness. Laryngoscopy reveals a 1 cm exophytic lesion limited to the middle third of the left true vocal cord, which has normal mobility. What is the most appropriate initial management strategy for this patient?
- A.Total laryngectomy with bilateral selective neck dissection
- B.Concurrent chemoradiotherapy
- C.Transoral laser microsurgery (TLM) or definitive radiation therapyCorrect answer
- D.Induction chemotherapy followed by partial laryngectomy
Solution
Early-stage (T1N0M0) glottic squamous cell carcinoma has an extremely high cure rate. Both transoral laser microsurgery (TLM) and definitive external beam radiotherapy offer equivalent rates of local control and laryngeal preservation. Total laryngectomy is reserved for recurrent or advanced disease.
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