Diagnostic Assessment (Imaging) and Staging of Laryngeal Cancer

Kyohei Itamura; Victor B Hsue; Anca M Barbu; Michelle M Chen

doi:10.1016/j.otc.2022.12.006

Diagnostic Assessment (Imaging) and Staging of Laryngeal Cancer

Otolaryngol Clin North Am. 2023 Apr;56(2):215-231. doi: 10.1016/j.otc.2022.12.006.

Authors

Kyohei Itamura¹, Victor B Hsue¹, Anca M Barbu¹, Michelle M Chen²

Affiliations

¹ Division of Otolaryngology-Head and Neck Surgery, Cedars-Sinai Medical Center, 8635 West Third Street #590W, Los Angeles, CA 90048, USA.
² Division of Otolaryngology-Head and Neck Surgery, Cedars-Sinai Medical Center, 8635 West Third Street #590W, Los Angeles, CA 90048, USA; Department of Otolaryngology-Head and Neck Surgery, Stanford University, 900 Blake Wilbur Drive Rm W3045, Stanford, CA 94305, USA. Electronic address: michelle.chen@stanford.edu.

PMID: 37030936
DOI: 10.1016/j.otc.2022.12.006

Abstract

Diagnosis of larynx cancer relies on a detailed history and physical and objective assessment with endoscopy and imaging. Endoscopy is needed to assess for vocal fold function that directly affects staging. Computed tomography and MRI can be used to assess for tumor extent in relation to intra- and extra-laryngeal structures, especially paraglottic and pre-epiglottic space involvement as well as cartilage invasion. Accurate staging is critical for subsequent treatment decision-making regarding larynx preservation.

Keywords: Biologic endoscopy; Endoscopy; Imaging; Laryngeal imaging; Larynx cancer; Narrow band imaging; Staging; Videostroboscopy.

Publication types

Review

MeSH terms

Humans
Laryngeal Neoplasms* / diagnostic imaging
Laryngeal Neoplasms* / pathology
Larynx* / diagnostic imaging
Larynx* / pathology
Neoplasm Staging
Tomography, X-Ray Computed
Vocal Cords / pathology