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    Laryngeal Cancer

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    neilclaudio
    Laryngeal cancer can develop in any part of the larynx, but the cure rate is affected by the location of the tumor. Radiation therapy provides excellent results in early stage glottic tumors, when only one vocal cord is involved. Total laryngectomy with permanent tracheal stoma is performed for cancer that extends beyond the vocal cords or for recurrent or persistent cancer.

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    Laryngeal Cancer

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    neilclaudio
    1K views3 pages
    Laryngeal cancer can develop in any part of the larynx, but the cure rate is affected by the location of the tumor. Radiation therapy provides excellent results in early stage glottic tumors, when only one vocal cord is involved. Total laryngectomy with permanent tracheal stoma is performed for cancer that extends beyond the vocal cords or for recurrent or persistent cancer.

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    Laryngeal cancer can develop in any part of the larynx, but the cure rate is affected by the location of the tumor. Radiation therapy provides excellent results in early stage glottic tumors, when only one vocal cord is involved. Total laryngectomy with permanent tracheal stoma is performed for cancer that extends beyond the vocal cords or for recurrent or persistent cancer.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    1K views3 pages

    Laryngeal Cancer

    Uploaded by

    neilclaudio
    Laryngeal cancer can develop in any part of the larynx, but the cure rate is affected by the location of the tumor. Radiation therapy provides excellent results in early stage glottic tumors, when only one vocal cord is involved. Total laryngectomy with permanent tracheal stoma is performed for cancer that extends beyond the vocal cords or for recurrent or persistent cancer.

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    At a glance
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    The key takeaways are that laryngeal cancer affects the larynx or voice box and the most common type is squamous cell carcinoma. Smoking and drinking alcohol are major risk factors. Symptoms include hoarseness, lump in the neck, and persistent cough. Diagnosis involves examination, biopsy, and scans/tests. Treatment depends on cancer stage but may include surgery, radiation, chemotherapy and speech therapy.

    The main causes and risk factors for laryngeal cancer are smoking, drinking alcohol, and using illegal drugs like cocaine and methamphetamines.

    Some of the diagnostic methods used to assess laryngeal cancer include indirect laryngoscopy, direct laryngoscopic examination under anesthesia, biopsy of suspicious tissue, CT scans, MRI scans, and PET scans.

    Laryngeal Cancer

    - Laryngeal cancer may also be called cancer of the


    larynx or laryngeal carcinoma. Most laryngeal cancers are squamous
    cell carcinomas, reflecting their origin from the squamous
    cells which form the majority of the laryngeal epithelium. Cancer can
    develop in any part of the larynx, but the cure rate is affected by the
    location of the tumor.

    - the larynx is divided into three anatomical regions: the glottis (true
    vocal cords, anterior and posterior commissures);
    the supraglottis(epiglottis, arytenoids and aryepiglottic folds,
    and false cords); and the subglottis.

    - Most laryngeal cancers originate in the glottis. Supraglottic cancers


    are less common, and subglottictumours are least frequent.

    Causes

    1. Smoking
    2. Drinking Alcohol
    3. Drug Abuse/Addiction, such as cocaine & methamphetamine

    Symptoms

     Hoarseness or other voice changes


     A lump in the neck
     A sore throat or feeling that something is stuck in the throat
     Persistent cough
     Stridor
     Bad breath
     Earache

    Assessment & Diagnostic Methods

     Assess for hoarseness, sore throat, dyspnea, dysphagia or


    pain and burning in the throat.
     Palpate the neck for swelling.
     Assess patients ability to hear, see, read, & write evaluation by
    speech therapist if indicated.

     Indirect Laryngoscopy
     Direct laryngoscopic examination under general anesthesia
     Biopsy of suspicious tissue
     Other test:
    - (CT) Scan
    - MRI
    - PET

    Medical Management

    • Complete dental examination to rule out oral disease. Dental problem


    should be resolve before scheduling surgery if possible.
    • Radiation therapy provides excellent results in early stage glottic
    tumors, when one cord is affected.
    • Endoscopic and C02 laser surgery for smaller tumors.
    • Partial laryngectomy is recommended in early stages of glottic
    cancer with only one vocal cord involved; high cure rate.
    • Total laryngectomy with permanent tracheal stoma is performed for
    cancer that extends beyond the vocal cords or for recurrent or
    persistent cancer; radical neck dissection is recommended; loss of
    voice but normal swallowing.
    • Speech therapy when indicated: esophageal speech, electro larynx
    or tracheoesophageal puncture.

    Nursing Diagnosis

    • Deficient knowledge about the surgical procedure and post operative


    course.
    • Anxiety & Depression R/T the diagnosis of cancer & impending
    surgery
    • Impaired verbal communication R/T removal of the larynx
    • Imbalance nutrition; less than body requirements R/T inability to
    ingest food & swallowing difficulties.
    • Disturbed body image, self concept, & self esteem R/T major neck
    surgery
    • Self-care deficit R/T post operative care.

    Reported By: Neil S. Claudio ♠♣♥♦


    Add me up!
    Vernix_caseosa@rocketmail.com
    neilclaudio@in.com
    Copyright© 2009 bsnsection3@yahoo.com “sabinila”™

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