Management of Advanced Laryngeal Cancer

Squamous cell carcinoma of the larynx continues to be the commonest head and neck cancer in many Western countries. The larynx plays a key role for many essential functions, including breathing, voice production, airway protection, and swallowing. The goals of laryngeal cancer treatment are thus to...

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Main Author: Patrick Sheahan
Format: Article
Language:English
Published: Rambam Health Care Campus 2014-04-01
Series:Rambam Maimonides Medical Journal
Subjects:
Online Access:http://rmmj.org.il/Pages/ArticleHTM.aspx?manuId=389
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author Patrick Sheahan
author_facet Patrick Sheahan
author_sort Patrick Sheahan
collection DOAJ
description Squamous cell carcinoma of the larynx continues to be the commonest head and neck cancer in many Western countries. The larynx plays a key role for many essential functions, including breathing, voice production, airway protection, and swallowing. The goals of laryngeal cancer treatment are thus to provide best possible oncologic control, while optimizing functional outcomes. In recent decades, the treatment paradigm for advanced laryngeal cancer has shifted from one of primary surgery (total laryngectomy) as gold standard, toward non-surgical organ-preserving treatment using radiotherapy or chemoradiotherapy. However, concerns have emerged regarding functional outcomes after chemoradiotherapy, as well as possible decreased overall survival in patients with laryngeal cancer. The purpose of the present review is to review surgical and non-surgical options for treatment of advanced laryngeal cancer, as well as the evidence supporting each of these.
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spelling doaj.art-053e6e7977334783b78d53fc25caaacf2022-12-22T00:55:53ZengRambam Health Care CampusRambam Maimonides Medical Journal2076-91722014-04-0152e001510.5041/RMMJ.10149Management of Advanced Laryngeal CancerPatrick Sheahan0South Infirmary Victoria University Hospital, Cork, IrelandSquamous cell carcinoma of the larynx continues to be the commonest head and neck cancer in many Western countries. The larynx plays a key role for many essential functions, including breathing, voice production, airway protection, and swallowing. The goals of laryngeal cancer treatment are thus to provide best possible oncologic control, while optimizing functional outcomes. In recent decades, the treatment paradigm for advanced laryngeal cancer has shifted from one of primary surgery (total laryngectomy) as gold standard, toward non-surgical organ-preserving treatment using radiotherapy or chemoradiotherapy. However, concerns have emerged regarding functional outcomes after chemoradiotherapy, as well as possible decreased overall survival in patients with laryngeal cancer. The purpose of the present review is to review surgical and non-surgical options for treatment of advanced laryngeal cancer, as well as the evidence supporting each of these.http://rmmj.org.il/Pages/ArticleHTM.aspx?manuId=389Chemoradiotherapylaryngeal neoplasmslaryngectomylarynxradiotherapysquamous carcinoma
spellingShingle Patrick Sheahan
Management of Advanced Laryngeal Cancer
Rambam Maimonides Medical Journal
Chemoradiotherapy
laryngeal neoplasms
laryngectomy
larynx
radiotherapy
squamous carcinoma
title Management of Advanced Laryngeal Cancer
title_full Management of Advanced Laryngeal Cancer
title_fullStr Management of Advanced Laryngeal Cancer
title_full_unstemmed Management of Advanced Laryngeal Cancer
title_short Management of Advanced Laryngeal Cancer
title_sort management of advanced laryngeal cancer
topic Chemoradiotherapy
laryngeal neoplasms
laryngectomy
larynx
radiotherapy
squamous carcinoma
url http://rmmj.org.il/Pages/ArticleHTM.aspx?manuId=389
work_keys_str_mv AT patricksheahan managementofadvancedlaryngealcancer