Physical Exam | 05/10/XX |
Hoarseness; difficulty breathing for two weeks. No apparent lymphadenopathy. |
X-Rays & Scans | 05/10/XX |
Upper GI: apparent mass extending to esophagus, otherwise unremarkable. |
05/10/XX | CXR: Lungs are clear. No evidence of disease. | |
Scopes | 05/10/XX | Direct laryngoscopy and biopsy of laryngeal mass. Findings: fungating mass on right posterior aryepiglottic fold, arytenoid cartilage and anterior half of esophageal inlet. |
05/17/XX | Total laryngectomy with bilateral neck dissection. | |
Laboratory |
|
None |
Operative Findings | 05/17/XX | No obvious residual unresected tumor. |
Pathological Reports | 05/10/XX |
Biopsy of supraglottic mass: Squamous cell carcinoma with areas of necrosis. |
05/17/XX | Total laryngectomy: squamous cell carcinoma, moderately differentiated, penetrates esophagus approximately 2 cm, 0/39 right and left lymph nodes positive. | |
Treatment | 05/17/XX |
Surgery: Total laryngectomy and bilateral neck dissection |
06/29/XX | Radiation: began IMRT 63 Gy to head and neck |