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Lembar kerjaAdvanced Laryngeal Cancer
Total soal: 12
Worksheet time: 4mins
What was the key conclusion of the VA Laryngeal Cancer Study?
TL for stage IV laryngeal SCC provides best survival outcomes
Early stage laryngeal SCC can be treated with chemotherapy alone
Total laryngectomy is the ideal method of laryngeal preservation
ChemoRT can preserve larynx in 2/3 of late stage patients without compromising survival
Which non-surgical treatment of laryngeal SCC has best laryngeal preservation and locoregional control per RTOG 91-11?
Concurrent chemoRT
Induction chemo followed by RT
RT alone
Total laryngopharyngectomy
What structures are located just lateral to the lesser cornu of the hyoid bone?
Vallecula and piriform sinus mucosa
Lingual nerve and submandibular ganglion
Hypoglossal nerve and lingual artery
Recurrent laryngeal nerve and parathyroid gland
What lies just medial to the greater horn of the thyroid cartilage?
Vallecula
Laryngeal Vestibule
Piriform Sinus
Tonsillar Fossa
On preoperative DL, tumor is found to involve bilateral TVF with extension to LEFT false fold/AE fold and LEFT piriform. Where should you perform your pharyngotomy during TL?
LEFT vallecula
RIGHT vallecula
LEFT piriform
Midline post-cricoid
What is the suture technique used to invert pharyngeal mucosa?
Connell Suture
3-0 Prolene
Running Submucoscular
Darrell Suture
After controlling for stage, esophageal SCC and adenocarcinoma have similar survival rates.
True
False
Which subsite of the larynx has the highest risk for distant metastasis?
Supraglottis
Glottis
Subglottis
What was the 2-year laryngeal preservation rate for concurrent chemoradiation in RTOG 91-11?
25%
50%
75%
90%
Tumors in which hypopharyngeal subsite are associated with Plummer-Vinson Syndrome?
Vallecula
Post-Cricoid
Piriform Sinus
Posterior Pharyngeal Wall
What is the primary surgical treatment for subglottic SCC?
Endoscopic resection
Total laryngectomy with paratracheal node dissection
Vertical partial laryngectomy without neck dissection
Total laryngopharyngectomy
What percentage of patients who have failed radiation for advanced larynx cancer are suitable candidates for salvage surgery?
10%
25%
50%
67%
