Supraglottic and glottic squamous cell carcinoma

Case contributed by Mohammad Farghali Ali Tosson
Diagnosis almost certain

Presentation

Voice changes and swallowing difficulties.

Patient Data

Age: 70 years
Gender: Male

There is an ill-defined exophytic glottic and supra-glottic soft tissue mass lesion.

The mass infiltrates both false and true vocal cords bilaterally with the anterior commissure until the level of the arytenoids cartilage

The mass infiltrates the pre-epiglottic space and obliterating the lower end of the vallecula and the pyriform sinus bilaterally

No bony involvement.  No cartilaginous destruction.

Multiple small bilateral cervical lymphadenopathy.

Case Discussion

In this case there is invasion of the deep pre-epiglottic fat denoting a stage T3 laryngeal tumor.

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