Premalignant laryngeal lesions.
Acta Otorhinolaryngol Belg
; 46(2): 117-26, 1992.
Article
in En
| MEDLINE
| ID: mdl-1605016
ABSTRACT
Premalignant laryngeal lesions are classified into three classes according to the degree of atypia present class I mild dysplasia, class II moderate dysplasia and class III severe dysplasia and carcinoma in situ. The risk that a carcinoma may develop later increases in the successive classes. The lesions are almost exclusively localized on the vocal cords. It is mandatory to remove the whole lesion for histopathological examination. A close cooperation between pathologist and laryngologist is necessary. progress in the development of more subjective and reproducible methods of grading is being made. Patients with class I and class II lesions are merely followed after an excisional biopsy. There is not a single best treatment modality for class III lesions. Radiotherapy has proven to be effective. However, the concept of microsurgical removal of the complete lesion seems to enable a more conservative approach for this class as well.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Precancerous Conditions
/
Laryngeal Neoplasms
Type of study:
Etiology_studies
/
Risk_factors_studies
Limits:
Female
/
Humans
/
Male
Language:
En
Journal:
Acta Otorhinolaryngol Belg
Year:
1992
Type:
Article
Affiliation country:
Netherlands