Squamous cell carcinoma of larynx - T4
Hoarseness of voice and neck swelling in a heavy smoker.
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A supraglottic enhancing lobulated soft tissue mass that extends superiorly to the aryepiglottic fold and inferiorly to the laryngeal ventricle, and shows extra-laryngeal spread to the soft tissues of the anterior neck. Bilateral neck lymphadenopathy.
Pathology proven squamous cell carcinoma of the larynx stage T4N2.