4.2 Laryngeal Cancer Flashcards Preview

ECU Craniofacial Anomalies + Laryngeal Rehab > 4.2 Laryngeal Cancer > Flashcards

Flashcards in 4.2 Laryngeal Cancer Deck (29):
1

What is the most common treatment for laryngeal cancer?

Total Laryngectomy

2

What adult age range typically for laryngeal caner?

Age 50-70

3

What gender is most likely to get laryngeal cancer?

Males, but as smoking has increased in women, so have cancer rates

4

What is the death rate of laryngeal cancer?

30%

5

What does early diagnosis of laryngeal cancer provide?

Better outcomes

6

What are the etiologies of laryngeal cancer?

(5)

- Highly associated with excessive smoking

- Even higher when paired with alcohol use

- Alcohol use alone has not be associated with laryngeal cancer

- Exposure to other environmental pollution also indicated

- Higher incidence and mortality rates for African American populations

7

What does this chart show?

Add chart from slide 15

A decrease in the prevalance of laryngeal cancer

8

What is the most common form of laryngeal cancer?

Squamous cell carcinoma

9

Where does squamous cell carinoma (laryngeal cancer) originate?

In the epithelial tissues

10

How does squamous cell carcinoma (laryngeal cancer) begin?

Begins with irregular thickening of the epithelial tissues

11

What may squamous cell carcinoma (laryngeal cancer) affect?

May affect vocal quality, so the SLP may be the first health care professional to see the patient

12

What are the other two common forms of laryngeal cancer?

1. Chondrocardinoma

2. Chondrosarcoma

13

Where does Chondrocardinoma and Chondrosarcoma originate?

Originates in the laryngeal cartilages

14

Where are the three places with malignant neoplasms can happen?

1. Supraglottic
2. Glottic
3. Subglottic

15

What are the different parts of the supraglottic area that can have a malignant neoplasm? (5)

Malignant neoplasms spread very quickly to what?

1. False vocal folds
2. Aryepiglottic folds
3. Arytenoids
4. Epiglottis
5. Hypopharynx

lymph nodes

16

What are the different parts of the glottic area that can have a malignant neoplasm? (2)

How hard is it to detect malignant neoplasm in the glottic area?

1. True vocal folds
2. Anterior/posterior commissures

Easily detected

17

What are the different parts of the subglottic area that can have a malignant neoplasm? (2)

1. Cricoid cartilage
2. Trachea

18

What are the three ways that cancer can spread?

1. Enlargement
2. Spread by the blood
3. Metastasis

19

What is the enlargement of cancer?

When cancer expands or grows

20

How is cancer spread by the blood?

Usually in the veins that drain the tumor-generally ends up in the lungs. Not as common as enlargement and metastasis.

21

what is the course of metastasis of cancer? (3)

-Through the lymph nodes

- Lymph is one of the fluids that bathes our tissues

- It is collected in ducts that converge on the lymph nodes

22

What are the symptoms of laryngeal cancer? (9)

- Hoarseness
- Cough
- Pain or discomfort
- Referred pain in the ear
- Dysphagia
- Foul breath
- Dyspnea (may hear stridor)
- Neck Swelling
- Globus sensation

23

What is globus sensation?

Sensation of a lump in the throat (usually only with larger tumors)

24

What are the symbols for tumor staging?

Tx-T4

25

What are the symbols for nodal involvement (N)?

Nx-N3c

26

What are the symbols used for metastasis (M)?

Mx-M1

27

What are the stages of cancer?

Stage 1 - Stage IV

28

What are the reasons for using stroboscopy for examination? (2)

- Direct visualization of vocal folds
- Rigid vs. flexible

29

What are the other things to use during an examination? (4)

- Acoustic analysis (F0, variation, range, intensity, jitter, shimmer)
- EGG
- Photoglottography
- Biopsy