Rak krtani
Diagnostyka i diagnoza

Diagnostyka raka krtani opiera się na wieloetapowym procesie obejmującym szczegółowy wywiad, badanie fizykalne oraz zaawansowane badania endoskopowe, takie jak laryngoskopia pośrednia i bezpośrednia, laryngostroboskopia oraz panendoskopia. Potwierdzenie rozpoznania następuje poprzez biopsję, najczęściej podczas laryngoskopii bezpośredniej lub biopsję cienkoigłową (FNA) w przypadku powiększonych węzłów chłonnych. Kluczowe jest również zastosowanie badań obrazowych, w tym tomografii komputerowej (CT), rezonansu magnetycznego (MRI), pozytonowej tomografii emisyjnej (PET/PET-CT) oraz RTG klatki piersiowej, które pozwalają na ocenę lokalizacji, rozmiaru guza oraz ewentualnych przerzutów. Stopień zaawansowania nowotworu określa się według systemu TNM (Tumor, Node, Metastasis), uwzględniając lokalizację guza (nadgłośnia, głośnia, podgłośnia), zajęcie węzłów chłonnych oraz obecność przerzutów odległych, co przekłada się na stadia od 0 do IV. Dodatkowo ocenia się stopień zróżnicowania histologicznego (G1-G3), który informuje o agresywności nowotworu.

Diagnostyka raka krtani

Rak krtani (rak larynx) to nowotwór złośliwy rozwijający się w tkankach krtani, która stanowi istotną część górnych dróg oddechowych i odpowiada za wytwarzanie głosu. Diagnostyka tego schorzenia obejmuje szereg badań i testów, które mają na celu wykrycie zmian nowotworowych, określenie ich zaawansowania oraz zaplanowanie odpowiedniego leczenia. Wczesne rozpoznanie raka krtani zwiększa szanse na skuteczne leczenie przy jednoczesnym zachowaniu funkcji krtani, takich jak mowa i połykanie12.

Badanie wstępne i wywiad medyczny

Proces diagnostyczny zazwyczaj rozpoczyna się od wizyty u lekarza rodzinnego, który przeprowadza szczegółowy wywiad medyczny i badanie fizykalne. Lekarz pyta o objawy (takie jak chrypka, trudności w połykaniu, ból podczas przełykania), czynniki ryzyka (np. palenie tytoniu, spożywanie alkoholu), historię zdrowotną pacjenta oraz ewentualną historię nowotworów w rodzinie12.

Podczas badania fizykalnego lekarz ocenia gardło i szyję, poszukując nieprawidłowości, takich jak guzki czy obrzęknięte węzły chłonne. W przypadku podejrzenia raka krtani, pacjent jest zazwyczaj kierowany do specjalisty otolaryngologa (lekarza specjalizującego się w chorobach uszu, nosa i gardła) lub chirurga głowy i szyi12.

Badania endoskopowe

Kluczowym elementem diagnostyki raka krtani są badania endoskopowe, które pozwalają na bezpośrednią ocenę struktur krtani1:

  • Laryngoskopia pośrednia – badanie przeprowadzane przy użyciu małego lusterka i światła, które umożliwia obserwację gardła i krtani. Procedura ta może być wykonywana w gabinecie lekarskim, często z użyciem miejscowego znieczulenia, aby zminimalizować dyskomfort1.
  • Laryngoskopia bezpośrednia – badanie z użyciem laryngoskopu (cienkiej, elastycznej rurki z kamerą i źródłem światła), który jest wprowadzany przez nos lub usta, aby dokładnie zbadać krtań. Procedura ta może być wykonywana w znieczuleniu miejscowym lub ogólnym12.
  • Laryngostroboskopia – specjalistyczne badanie oceniające funkcjonowanie strun głosowych podczas mowy. Kamera jest przymocowana do laryngoskopu, a migające światła są używane do spowolnienia obrazu poruszających się strun głosowych1.
  • Panendoskopia – kompleksowe badanie obejmujące laryngoskopię, ezofagoskopię (badanie przełyku) i niekiedy bronchoskopię (badanie tchawicy i oskrzeli)1.

Podczas tych badań endoskopowych lekarz ocenia nie tylko obecność guzów czy nieprawidłowości, ale także ruchomość strun głosowych, co jest istotne dla określenia stopnia zaawansowania nowotworu12.

Biopsja

Biopsja jest jedynym pewnym sposobem potwierdzenia diagnozy raka krtani. Procedura ta polega na pobraniu próbki tkanki z podejrzanego obszaru i zbadaniu jej pod mikroskopem w celu wykrycia komórek nowotworowych12.

Biopsja może być wykonywana na kilka sposobów:

  • Biopsja podczas laryngoskopii bezpośredniej – najczęściej stosowana metoda, podczas której lekarz pobiera próbkę tkanki z podejrzanego obszaru w krtani1.
  • Biopsja cienkoigłowa (FNA – Fine Needle Aspiration) – stosowana głównie do oceny powiększonych węzłów chłonnych szyi. Cienka igła jest wprowadzana do węzła, a następnie aspirowane są komórki do badania12.

Wyniki biopsji są analizowane przez patomorfologa, który określa typ komórek nowotworowych, co ma kluczowe znaczenie dla ustalenia odpowiedniego leczenia12.

Badania obrazowe

Badania obrazowe są niezbędne do określenia lokalizacji i rozmiaru guza, a także do oceny, czy nowotwór rozprzestrzenił się poza krtań12:

  • Tomografia komputerowa (CT) – dostarcza szczegółowych obrazów przekrojowych szyi i klatki piersiowej, pomagając określić rozmiar i lokalizację guza, a także ocenić, czy nowotwór rozprzestrzenił się do okolicznych struktur, takich jak chrząstki czy węzły chłonne12.
  • Rezonans magnetyczny (MRI) – dostarcza dokładnych obrazów tkanek miękkich, co pomaga określić granice guza i jego stosunek do innych struktur szyi12.
  • Pozytonowa tomografia emisyjna (PET) lub PET-CT – badanie, które może wykryć aktywne metabolicznie komórki nowotworowe w całym ciele, co jest przydatne w ocenie ewentualnego rozprzestrzeniania się nowotworu12.
  • RTG klatki piersiowej – może być stosowane do oceny, czy nowotwór rozprzestrzenił się do płuc1.
  • Badanie połykania barytu – seria zdjęć rentgenowskich wykonanych podczas połykania barytowej zawiesiny, która pomaga uwidocznić nieprawidłowości w przełyku i ocenić funkcję połykania1.

Badania obrazowe są szczególnie ważne w przypadku zaawansowanego raka krtani, natomiast we wczesnych stadiach (gdy guz jest mały i ograniczony do strun głosowych) mogą nie być konieczne12.

Ocena zaawansowania raka krtani

Po potwierdzeniu diagnozy raka krtani, kolejnym krokiem jest określenie stopnia zaawansowania nowotworu, co ma kluczowe znaczenie dla wyboru odpowiedniej metody leczenia i rokowania12.

System TNM

Do oceny zaawansowania raka krtani najczęściej stosowany jest system TNM (Tumor, Node, Metastasis), opracowany przez Amerykański Wspólny Komitet ds. Raka (AJCC). System ten uwzględnia trzy główne czynniki12:

  • T (Tumor) – guz pierwotny – określa rozmiar i zakres guza pierwotnego. Stopień T zależy od lokalizacji guza w krtani (nadgłośnia, głośnia, podgłośnia) oraz zajęcia okolicznych struktur1.
  • N (Nodes) – węzły chłonne – ocenia, czy nowotwór rozprzestrzenił się do regionalnych węzłów chłonnych szyi, a jeśli tak, to w jakim stopniu1.
  • M (Metastasis) – przerzuty odległe – określa, czy nowotwór rozprzestrzenił się do odległych narządów, takich jak płuca, wątroba czy kości1.

Na podstawie oceny TNM określany jest ogólny stopień zaawansowania nowotworu (od 0 do IV), przy czym wyższy stopień oznacza bardziej zaawansowaną chorobę12:

  • Wczesny rak krtani – stadia 0, I i II: guz jest mały, a nowotwór nie rozprzestrzenił się poza krtań1.
  • Umiarkowanie zaawansowany rak krtani – stadium III: guz jest większy, może wpływać na ruchomość strun głosowych1.
  • Zaawansowany rak krtani – stadium IV: guz jest duży, może naciekać okoliczne struktury poza krtanią, rozprzestrzeniać się do węzłów chłonnych lub innych części ciała1.

Stopniowanie kliniczne i patologiczne

Wyróżnia się dwa rodzaje stopniowania raka krtani1:

  • Stopniowanie kliniczne (cTNM) – oparte na wynikach badania fizykalnego i testów diagnostycznych wykonanych przed operacją.
  • Stopniowanie patologiczne (pTNM) – oparte na cechach patologicznych guza pierwotnego i liczbie pozytywnych węzłów chłonnych stwierdzonych podczas operacji.

Różnica między stopniowaniem klinicznym a patologicznym wynika z ograniczeń technik diagnostycznych – w 20-30% przypadków stopień zaawansowania nowotworu jest zwiększany (upstaging) po analizie patologicznej1.

Stopień zróżnicowania histologicznego

Oprócz oceny stopnia zaawansowania, ważnym elementem diagnostyki jest określenie stopnia zróżnicowania histologicznego (grade) komórek nowotworowych, co dostarcza informacji o ich agresywności12:

  • G1 (niski stopień) – komórki nowotworowe są dobrze zróżnicowane, podobne do normalnych komórek krtani, rosną i mnożą się powoli.
  • G2 (średni stopień) – komórki nowotworowe są umiarkowanie zróżnicowane.
  • G3 (wysoki stopień) – komórki nowotworowe są słabo zróżnicowane, znacznie odbiegają od normalnych komórek krtani, są agresywne i szybko się mnożą.

Nowoczesne metody diagnostyczne

W diagnostyce raka krtani coraz częściej stosowane są zaawansowane techniki, które pomagają w precyzyjnej ocenie zmian nowotworowych i planowaniu leczenia12:

Badania molekularne i genetyczne

Nowoczesne badania molekularne i genetyczne pozwalają na identyfikację specyficznych markerów białkowych i mutacji genetycznych, które mogą wpływać na wybór metody leczenia12:

  • Testy biomarkerów – badanie próbki guza w celu identyfikacji specyficznych genów, białek i innych czynników charakterystycznych dla danego nowotworu. Niektóre metody leczenia raka działają tylko na komórki nowotworowe z określonymi markerami białkowymi12.
  • Badania sekwencjonowania genomu guza – analiza materiału genetycznego komórek nowotworowych w celu identyfikacji mutacji, które mogą być związane z typem nowotworu. Wyniki tych badań mogą pomóc w uniknięciu leczenia, które nie będzie skuteczne, lub w rekomendacji leku, który został zatwierdzony dla specyficznych zmian w guzie1.
  • Multigeniczna klasyfikacja prognostyczna – narzędzie, które może być przydatne do rozróżnienia raka krtani o niskim lub wysokim ryzyku nawrotu, co może wpływać na wybór metody leczenia1.

Zaawansowane techniki obrazowania

Rozwijane są również coraz bardziej zaawansowane techniki obrazowania, które pomagają w dokładniejszej ocenie zmian nowotworowych12:

  • Wąskopasmowe obrazowanie (NBI – Narrow Band Imaging) – technika endoskopowa, która poprawia wizualizację mikronaczyniowej morfologii podśluzówkowej, co zwiększa wykrywalność raka krtani1.
  • Endoskopia fluorescencyjna – metoda wykorzystująca specjalne barwniki, które gromadzą się w komórkach nowotworowych i świecą pod wpływem światła o określonej długości fali1.
  • Videostroboskopia – technika podobna do laryngoskopii, wykorzystująca kamerę wideo do rejestrowania krtani podczas wytwarzania różnych dźwięków. Pozwala na obserwację nieprawidłowości wibracji, które mogą pomóc w wykryciu raka i określeniu rozmiaru i lokalizacji guza1.

Sztuczna inteligencja w diagnostyce

Coraz większą rolę w diagnostyce raka krtani odgrywa sztuczna inteligencja (AI), która może wspomagać specjalistów w interpretacji wyników badań12:

  • Algorytmy głębokiego uczenia – analizują obrazy endoskopowe i identyfikują podejrzane obszary, które mogą być przeoczone przez ludzkie oko1.
  • Systemy wspomagania diagnostyki – wykorzystujące uczenie maszynowe do analizy danych biomedycznych i prognozowania wyników leczenia1.
  • Laryngopharyngeal Artificial Intelligence Diagnostic System (LPAIDS) – system oparty na głębokich sieciach konwolucyjnych, który automatycznie identyfikuje raka krtani i gardła w czasie rzeczywistym, zarówno w obrazach endoskopowych w świetle białym (WLI), jak i w obrazowaniu wąskopasmowym (NBI)1.

Badania pokazują, że systemy oparte na sztucznej inteligencji mogą osiągać wysoką dokładność diagnostyczną, porównywalną z ekspertami, a lepszą niż nieeksperci w identyfikacji raka krtani1.

Znaczenie wczesnej diagnostyki

Wczesne wykrycie raka krtani ma kluczowe znaczenie dla rokowania i możliwości zachowania funkcji krtani12:

  • Rak krtani we wczesnym stadium (stadium 0 i I) ma doskonałe wskaźniki przeżycia, a wczesne leczenie może również zachować zdolność mówienia i połykania1.
  • W przypadku raka głośni (strun głosowych) wczesne rozpoznanie jest częste ze względu na wczesne pojawienie się chrypki jako objawu1.
  • Zgodnie z zaleceniami National Institute for Health and Care Excellence (NICE), każda osoba w wieku 45 lat lub starsza z utrzymującą się, niewyjaśnioną chrypką lub niewyjaśnionym guzkiem na szyi powinna mieć wizytę u specjalisty w ciągu 2 tygodni1.

Mimo że nie istnieją regularne badania przesiewowe w kierunku raka krtani, osoby z czynnikami ryzyka (np. palacze tytoniu, osoby nadużywające alkoholu) oraz te, które doświadczają trwałych objawów, takich jak chrypka, zmiany głosu czy utrzymujący się kaszel, powinny skonsultować się z lekarzem12.

Podsumowanie procesu diagnostycznego

Diagnostyka raka krtani to złożony proces, który obejmuje wiele komplementarnych metod badawczych, mających na celu nie tylko potwierdzenie obecności nowotworu, ale także określenie jego dokładnej lokalizacji, stopnia zaawansowania i charakterystyki biologicznej12.

Kluczowe elementy tego procesu to:

  • Szczegółowy wywiad medyczny i badanie fizykalne1.
  • Badania endoskopowe (laryngoskopia, stroboskopia)1.
  • Biopsja i analiza patologiczna1.
  • Badania obrazowe (CT, MRI, PET)1.
  • Ocena stopnia zaawansowania nowotworu według systemu TNM1.
  • Ewentualne badania molekularne i genetyczne1.

Dokładna i kompleksowa diagnostyka raka krtani jest fundamentem do opracowania optymalnego planu leczenia, który uwzględnia zarówno skuteczność w walce z nowotworem, jak i zachowanie funkcji krtani (mowy, połykania, oddychania)12.

Z uwagi na ciągły rozwój metod diagnostycznych, w tym technik molekularnych i systemów opartych na sztucznej inteligencji, diagnostyka raka krtani staje się coraz bardziej precyzyjna, co przekłada się na lepsze wyniki leczenia i jakość życia pacjentów12.

Kolejne rozdziały

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Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 11.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Laryngeal Cancer: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/16611-laryngeal-cancer
    Laryngeal cancer may form in any of the three parts of your larynx: the supraglottis, glottis or subglottis. […] A healthcare provider will ask you about your symptoms and medical history. Theyll do a physical exam, examining your throat and neck. After the initial exam, youll most likely need other tests to confirm a diagnosis. […] Diagnostic tests include: Imaging scans: CT or MRI scans provide detailed images of the inside of your body. They can show a tumors size and where its located. A chest X-ray can show if cancer has spread to your lungs. […] During a laryngoscopy, a provider uses a thin, lighted tube called an endoscope to examine your larynx. […] During a biopsy, a provider removes a small piece of abnormal tissue from your larynx to examine under a microscope. A specialist called a pathologist will examine the cells and look for certain protein markers. Some types of cancer treatments only work on cancer cells with specific protein markers.
  • #1 Diagnosis of laryngeal cancer | Canadian Cancer Society
    https://cancer.ca/en/cancer-information/cancer-types/laryngeal/diagnosis
    Diagnosis is the process of finding out the cause of a health problem. Diagnosing laryngeal cancer usually begins with a visit to your family doctor. Your doctor will ask you about any symptoms you have and do a physical exam. Based on this information, your doctor will refer you to a specialist or order tests to check for laryngeal cancer or other health problems. […] The following tests are usually used to rule out or diagnose laryngeal cancer. Many of the same tests used to diagnose cancer are used to find out the stage (how far the cancer has progressed). Your doctor may also order other tests to check your general health and to help plan your treatment. […] A laryngostroboscopy (or videostroboscopy) is used to examine the vocal cords during speech. A camera is attached to a laryngoscope, and flashing lights are used to slow down the image of the cords moving. The procedure is done by an ENT surgeon in a medical office or hospital. A laryngostroboscopy may be done to diagnosis laryngeal cancer.
  • #1
    https://www.nhs.uk/conditions/laryngeal-cancer/diagnosis/
    If you have symptoms of laryngeal cancer, such as a hoarse voice and pain when swallowing, your GP will ask about your symptoms and recent medical history. […] If laryngeal cancer is suspected, you’ll probably be referred to the ear, nose and throat (ENT) department of your local hospital for further testing. […] The National Institute for Health and Care Excellence (NICE) recommends that anyone aged 45 or over with persistent unexplained hoarseness or an unexplained lump in their neck should have an appointment with a specialist within 2 weeks. […] During a nasendoscopy or laryngoscopy, your doctor may use small instruments to remove a sample of cells from your larynx so it can be examined for signs of cancer. This is known as a biopsy. […] If the results of the biopsy show you have cancer and there’s a risk it may have spread, you’ll probably be referred for further testing to assess how widespread the cancer is.
  • #1 Laryngeal Cancer – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK526076/
    In addition to history, physical examination, and laryngeal visualization, other studies are necessary to formally diagnose and stage the cancer. Multiple methods for obtaining tissue are feasible, including biopsy during direct laryngoscopy of the suspected primary lesion and fine-needle aspiration cytology for suspected nodal disease. […] For all laryngeal cancers, imaging of the primary lesion and draining lymph nodes is essential, typically performed with contrast-enhanced computed tomography (CT) of the neck. […] The most crucial aspect of the physical examination involves an invasive assessment of the primary lesion, which includes indirect laryngoscopy, mirror examination, and often fiberoptic endoscopy. […] Direct laryngoscopy enhances the ability to delineate the extent of disease and obtain tissue specimens.
  • #1 Laryngeal Cancer: Diagnosis
    https://healthlibrary.brighamandwomens.org/Library/DiseasesConditions/Adult/MentalHealth/34,BLarD1
    Indirect laryngoscopy. Using a small mirror with a long handle, your healthcare provider looks down your throat. This lets your provider check to see if your vocal cords move normally. The exam doesn’t hurt. But your healthcare provider may spray a local anesthetic on your throat to numb it and keep you from gagging. This test can be done in your healthcare provider’s office. […] Direct laryngoscopy. Your healthcare provider puts a thin, flexible, lighted tube called a laryngoscope through your nose or mouth. This tube lets your provider see areas that cant be seen with a simple mirror. Local anesthesia will be used to ease discomfort. Or you might be given a mild sedative to help you relax. You may have this test done in your healthcare provider’s office, an outpatient clinic, or a hospital. Sometimes, this test is done in the operating room, using a general anesthesia to put you to sleep during the test. Biopsies might be done during this test.
  • #1 Diagnosing Laryngeal Cancer | NYU Langone Health
    https://nyulangone.org/conditions/laryngeal-cancer/diagnosis
    NYU Langone doctors are experienced in recognizing and diagnosing laryngeal cancer, which arises in the larynx. The earlier laryngeal cancer is detected, the better the chances of a full recovery. If your doctor suspects you have laryngeal cancer, he or she asks about your medical history—for example, whether you have smoked or currently smoke—and whether family members have been diagnosed with the condition. Your doctor also asks about your symptoms and their duration and performs a physical exam. […] To diagnose the condition, NYU Langone doctors may perform several tests, including laryngoscopy and a biopsy. […] During a laryngoscopy, the doctor inserts a laryngoscope—a thin, flexible, lighted tube with a lens at the tip that transmits images to a monitor—through the nose and into the throat. This procedure allows the doctor to look for tumors in the larynx.
  • #1 Laryngeal Cancer: Diagnosis
    https://healthlibrary.brighamandwomens.org/Library/DiseasesConditions/Adult/MentalHealth/34,BLarD1
    Panendoscopy […] This test is like a direct laryngoscopy. But many different parts of the head are checked for cancer. These include the nose, nasal cavity, mouth, throat, windpipe (trachea), and food pipe (esophagus). General anesthesia is used to do this test. So you’re asleep and do not feel pain. If any changes are seen, tissue may be taken out for testing (biopsied). […] Barium swallow […] This is a series of X-rays taken while you swallow a chalky substance called barium. The barium coats the inside of your throat so that any swallowing changes can be seen on the X-rays. […] CT scan […] In this test, X-rays come from many angles to take a series of pictures of the inside of your body. These images are then combined by a computer, giving a detailed 3-D picture of your insides. A CT scan can be used to check your head and neck. It’s sometimes used to check the chest for signs that cancer has spread to the lungs.
  • #1 Diagnostic Assessment (Imaging) and Staging of Laryngeal Cancer – PubMed
    https://pubmed.ncbi.nlm.nih.gov/37030936/
    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.
  • #1 Throat cancer – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/throat-cancer/diagnosis-treatment/drc-20366496
    In order to diagnose throat cancer, your doctor may recommend: […] Another type of scope (laryngoscope) can be inserted in your voice box. It uses a magnifying lens to help your doctor examine your vocal cords. This procedure is called laryngoscopy. […] If abnormalities are found during an endoscopy or laryngoscopy, your doctor can pass surgical instruments through the scope to collect a tissue sample (biopsy). The sample is sent to a laboratory for testing. […] Imaging tests, including computerized tomography (CT), magnetic resonance imaging (MRI) and positron emission tomography (PET), may help your doctor determine the extent of your cancer beyond the surface of your throat or voice box. […] Once throat cancer is diagnosed, the next step is to determine the extent (stage) of the cancer. Knowing the stage helps determine your treatment options.
  • #1 Throat Cancer Diagnosis | Throat Cancer Tests | American Cancer Society
    https://www.cancer.org/cancer/types/laryngeal-and-hypopharyngeal-cancer/detection-diagnosis-staging/how-diagnosed.html
    Laryngeal and hypopharyngeal cancers are usually found because of signs or symptoms a person is having. If cancer is suspected, tests will be needed to confirm the diagnosis. […] If your doctor suspects a cancer of the larynx or hypopharynx, you will be referred to an ear, nose, and throat (ENT) doctor, also called an otolaryngologist. […] This exam is usually done in an operating room where you are given drugs through an intravenous (IV) line to put you in a deep sleep (under general anesthesia). The doctor uses a rigid laryngoscope to look for tumors in the larynx and hypopharynx. […] In a biopsy, the doctor removes a sample of tissue which is looked at closely in the lab. It’s the only way to be sure that cancer is present. […] If the FNA shows cancer, the pathologist (the doctor examining the samples) can often tell what type of cancer it is.
  • #1 Diagnosis of laryngeal cancer | Canadian Cancer Society
    https://cancer.ca/en/cancer-information/cancer-types/laryngeal/diagnosis
    During a biopsy, the doctor removes tissues or cells from the body so they can be tested in a lab. A report from the pathologist will confirm whether or not cancer cells are found in the sample. The biopsies that could be used for laryngeal cancer are: endoscopic biopsy tissue samples are removed from the larynx during a direct laryngoscopy; fine needle aspiration (FNA) to biopsy a lump in the neck or enlarged lymph node. […] A CT scan of the head and neck may be done to help determine the size and location of a tumour and if cancer has spread to bone, cartilage or lymph nodes. A CT scan of the chest may be done to look for or rule out spread (metastasis) to the lungs. CT scans may not be needed for early stage laryngeal cancers. […] An MRI scan of the head and neck may be done to determine the size and location of a tumour and if the cancer has spread to bone, cartilage or lymph nodes. MRI may not be needed for early stage laryngeal cancers. […] Blood tests are not used to diagnose or stage laryngeal cancer, but they may be used to check liver and kidney function and overall health before treatment.
  • #1 Diagnosing Laryngeal Cancer | NYU Langone Health
    https://nyulangone.org/conditions/laryngeal-cancer/diagnosis
    If a doctor identifies a suspicious growth during laryngoscopy, he or she can perform a biopsy, in which a piece of tissue is removed. A pathologist examines the tissue under a microscope to determine if it contains cancer cells. […] After a diagnosis of laryngeal cancer, your doctor may perform a CT scan, which uses X-rays and a computer to create two- or three-dimensional, cross-sectional images of the body. […] To see if the cancer has spread to distant parts of the body, such as the lungs, liver or bones, your doctor may recommend a whole body PET/CT scan.
  • #1 Laryngeal Cancer | Condition | UT Southwestern Medical Center
    https://utswmed.org/conditions-treatments/laryngeal-cancer/
    Barium swallow: The patient swallows liquid barium, a substance that shows up on X-rays, and then X-rays are taken. Barium swallows can show abnormalities in the throat and evaluate swallowing. […] Computed tomography (CT) scan: CT uses specialized X-rays with or without a contrast agent to produce cross-sectional 3D images of the throat. […] Magnetic resonance imaging (MRI) scan: MRI uses radio waves and a strong magnet, with or without a contrast agent, to produce detailed images of the throat. MRI can also show whether cancer has spread to lymph nodes in the neck. […] Positron emission tomography (PET)/CT scan: Using small amounts of radioactive materials and a special camera, PET scans produce highly detailed images that can detect cancerous cells. […] Biopsy: Our doctors take a small tissue sample that a pathologist analyzes under a microscope for the presence of cancer. We perform biopsies using a needle or during a laryngoscopy, using a special tool on the scope.
  • #1
    https://www.nhs.uk/conditions/laryngeal-cancer/diagnosis/
    After these tests have been completed, your doctor should be able to tell you the extent of the cancer. This is known as the stage and grade of the cancer. […] Healthcare professionals use a system called the TNM system to stage laryngeal cancer. T describes the size of the tumour, N describes whether cancer has spread to the lymph nodes and M gives an indication of whether the cancer has spread to other parts of the body. […] There are also 3 different grades (1 to 3) used to describe laryngeal cancer.
  • #1 Laryngeal Cancer: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/16611-laryngeal-cancer
    Part of a diagnosis involves staging the cancer. Your care team will figure out how severe the disease is how far the tumor has grown and if and where it has invaded tissues in your body. […] Stages of laryngeal cancer include: Early laryngeal cancer: In stages 0, 1 and 2, the tumor is small. Cancer hasnt spread beyond your larynx. […] Advanced laryngeal cancer: In stages 3 and 4, the tumor has grown larger. Its affected your vocal cords or invaded your lymph nodes or other areas of your body. […] Treatment for laryngeal cancer includes: Radiation therapy: Radiation oncologists deliver high-energy radiation beams to kill cancer cells. The radiation targets only the tumor to minimize damage to surrounding healthy tissue. […] Chemotherapy: Medical oncologists use medications to kill or slow the growth of cancer cells.
  • #1 Laryngeal Cancer – Ear, Nose, and Throat Disorders – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/ear-nose-and-throat-disorders/tumors-of-the-head-and-neck/laryngeal-cancer
    Pathologic staging (pTNM) is based on the pathologic characteristics of the primary tumor and the number of positive nodes found during surgery. […] The approach to treatment varies by anatomic location (ie, supraglottis, glottis, subglottis) and stage. […] Treat early-stage (T1 and T2) supraglottic, glottic, and subglottic cancer with surgery or radiation therapy. […] Treat moderately advanced (T3) supraglottic, glottic, and subglottic cancer with radiation therapy and sometimes chemotherapy. […] Treat most advanced (T4) supraglottic, glottic, and subglottic cancer that extends outside of the larynx with surgery and then postoperative chemotherapy and radiation therapy.
  • #1 Diagnosis – Laryngeal Advanced Cancer – THE VOICE FOUNDATION
    https://voicefoundation.org/health-science/voice-disorders/voice-disorders/laryngeal-advanced-cancer/diagnosis-laryngeal-advanced-cancer/
    How is advanced laryngeal cancer diagnosed? A physician specializing in throat disorders (otolaryngologist) can diagnose a tumor in the larynx. […] The main way that cancer is diagnosed is through pathology analysis of a biopsy specimen or the excised tumor itself. Briefly, pathology analysis involves the highly magnified study of the tissues under a microscope. Pathology analysis determines whether cancer cells (which look different than normal cells) are present. […] While clinical examination and scans are important in determining the extent of a tumor, the actual diagnosis can only be made when a biopsy is taken from a suspicious area and examined by a pathologist. […] Because of Technique limitations, tumor stage is upgraded (upstaging) after pathology analysis in 20 to 30 percent of cases.
  • #1 Towards laryngeal cancer diagnosis using Dandelion Optimizer Algorithm with ensemble learning on biomedical throat region images | Scientific Reports
    https://www.nature.com/articles/s41598-024-70525-0
    Laryngeal cancer exhibits a notable global health burden, with later-stage detection contributing to a low mortality rate. Laryngeal cancer diagnosis on throat region images is a pivotal application of computer vision (CV) and medical image diagnoses in the medical sector. […] This article introduces an automated Laryngeal Cancer Diagnosis using the Dandelion Optimizer Algorithm with Ensemble Learning (LCD-DOAEL) method on Biomedical Throat Region Image. The LCD-DOAEL method aims to investigate the images of the throat region for the presence of laryngeal cancer. […] A comprehensive set of simulations is conducted on the biomedical image dataset to highlight the efficient performance of the LCD-DOAEL technique. The comparison analysis of the LCD-DOAEL method exhibited a superior accuracy outcome of 97.54% over other existing techniques.
  • #1 Throat Cancer Diagnosis | Memorial Sloan Kettering Cancer Center
    https://www.mskcc.org/cancer-care/types/throat/throat-cancer-diagnosis
    Genomic testing is also called tumor sequencing or molecular profiling. It involves looking at the cells obtained from the tumor to see if there are any genetic mutations that could be linked to the type of cancer you have. […] For people with advanced disease, our experts use a testing approach called MSK-IMPACT. This test, developed by MSK experts, screens for mutations in more than 450 genes at once. […] Based on which mutations we find, we may be able to help you avoid treatments that wont work for you or, in some cases, recommend a drug that has been approved for the specific changes in the tumor you have. You may be able to join a clinical trial testing a new drug therapy. […] Genetic information about the tumor can also help us predict the chances that the cancer will return after treatment.
  • #1 Laryngeal cancer – Wikipedia
    https://en.wikipedia.org/wiki/Laryngeal_cancer
    Diagnosis is made by the doctor on the basis of a medical history, physical examination, and special investigations which may include a chest x-ray, CT or MRI scans, and tissue biopsy. […] The examination of the larynx requires some expertise, which may require specialist referral. […] If there is a suspicion of cancer, biopsy is performed, usually under general anaesthetic. This provides histological proof of cancer type and grade. […] A full endoscopic examination of the larynx, trachea, and esophagus is often performed at the time of biopsy. […] For small glottic tumours further imaging may be unnecessary. In most cases, tumour staging is completed by scanning the head and neck region to assess the local extent of the tumour and any pathologically enlarged cervical lymph nodes. […] The final management plan will depend on the site, stage (tumour size, nodal spread, distant metastasis), and histological type. The overall health and wishes of the patient must also be taken into account. A prognostic multigene classifier has been shown to be potentially useful for the distinction of laryngeal cancer of low or high risk of recurrence and might influence the treatment choice in future.
  • #1 Real-time detection of laryngopharyngeal cancer using an artificial intelligence-assisted system with multimodal data | Journal of Translational Medicine | Full Text
    https://translational-medicine.biomedcentral.com/articles/10.1186/s12967-023-04572-y
    Laryngopharyngeal cancer (LPC) includes laryngeal and hypopharyngeal cancer, whose early diagnosis can significantly improve the prognosis and quality of life of patients. Pathological biopsy of suspicious cancerous tissue under the guidance of laryngoscopy is the gold standard for diagnosing LPC. […] We aimed to develop and validate a deep convolutional neural network-based Laryngopharyngeal Artificial Intelligence Diagnostic System (LPAIDS) for real-time automatically identifying LPC in both laryngoscopy white-light imaging (WLI) and narrow-band imaging (NBI) images to improve the diagnostic accuracy of LPC by reducing diagnostic variation among on-expert laryngologists. […] LPAIDS provided high accuracy and stability in detecting LPC in real-time, which showed great potential for using LPAIDS to improve the diagnostic accuracy of LPC by reducing diagnostic variation among on-expert laryngologists.
  • #1 Laryngeal cancer – Symptoms, diagnosis and treatment | BMJ Best Practice
    https://bestpractice.bmj.com/topics/en-gb/1115
    1st investigations to order include neck CT with contrast, chest CT with or without contrast, MRI with and without contrast, fine needle aspiration of neck mass, and flexible fibre-optic laryngoscopy. […] Investigations to consider include rigid videostroboscopy, rigid direct laryngoscopy, immunohistochemistry testing, laryngeal biopsy, whole-body PET/CT scan, and fluorescence endoscopy.
  • #1 Laryngeal Cancer | Condition | UT Southwestern Medical Center
    https://utswmed.org/conditions-treatments/laryngeal-cancer/
    Cancer experts at UT Southwestern Medical Center have the experience and training needed for complex head and neck cancers such as laryngeal cancer. We offer comprehensive care to diagnose and treat the disease, with specialized services to help patients and their families throughout treatment. […] To confirm a diagnosis, our doctors might recommend one or more tests, such as: […] Laryngoscopy: We sometimes use a scope (a thin, flexible tube with a lighted camera), which is inserted through the nose for a closer look into the throat. […] Videostroboscopy: Similar to a laryngoscopy, this test uses a scope with a video camera to record the larynx as the patient produces various sounds. We use videostroboscopy to view vibration abnormalities that can help detect cancer and determine the size and location of a tumor.
  • #1 Real-time detection of laryngopharyngeal cancer using an artificial intelligence-assisted system with multimodal data | Journal of Translational Medicine | Full Text
    https://translational-medicine.biomedcentral.com/articles/10.1186/s12967-023-04572-y
    Laryngoscopy biopsy is the gold standard for diagnosing LPC. […] The manifestation of early LPC is subtle mucosal changes under WLI, and combined with the application of NBI, it can enhance the visualisation of submucosal microvascular morphology; thick black spots can be observed within and surrounding malignant lesions, which improves the detection rate of LPC. […] Our system can recognise WLI and NBI images simultaneously with nearly no requirements for training and experience for laryngologists, achieving a high diagnostic accuracy similar to that of experts and better than that of non-experts in identifying LPC. […] The system could recognise WLI and NBI imaging modalities simultaneously, achieving high accuracy and sensitivity in independent image and video test sets.
  • #1 Laryngeal Cancer – Ear, Nose, and Throat Disorders – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/ear-nose-and-throat-disorders/tumors-of-the-head-and-neck/laryngeal-cancer
    Ninety percent of laryngeal cancer is squamous cell carcinoma. […] Early diagnosis is common with vocal cord tumors because hoarseness develops early. […] Diagnosis is based on laryngoscopy and biopsy. […] All patients who have hoarseness for 2 to 3 weeks should have their larynx examined by a head and neck specialist. […] Patients with confirmed carcinoma typically have neck CT with contrast and a chest radiograph or chest CT. Most clinicians also do PET of the neck and chest at the time of diagnosis. […] Laryngeal cancer is staged according to size and site of the primary tumor (T), number and size of metastases to the cervical lymph nodes (N), and evidence of distant metastases (M). […] Clinical staging (cTNM) is based on the results of the physical examination and tests done before surgery.
  • #1 Laryngeal Cancer: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/16611-laryngeal-cancer
    Immunotherapy: This treatment uses your immune system, your bodys natural defenses, to help fight cancer. […] Targeted therapy: This treatment targets cancer cells with specific types of proteins, preventing the cells from multiplying. […] For early laryngeal cancer, your care team will likely recommend surgery or radiation therapy. Research has shown that both are effective. […] Theres no regular screening test for laryngeal cancer. But talk to a healthcare provider if you have hoarseness, other voice changes or a persistent cough. Early detection catches cancer early, when its easiest to treat. […] If you have laryngeal cancer symptoms, such as hoarseness or other voice changes, a cough that wont go away or trouble swallowing, talk to your healthcare provider. With early treatment, the survival rates for stage 0 and stage 1 laryngeal cancer are excellent. Treating the cancer early can also preserve your ability to speak and eat.
  • #1 Laryngeal Cancer Diagnosis | Georgia Radiation Therapy
    https://georgiaradiationtherapy.com/head-and-neck-cancer-treatment/laryngeal-cancer/laryngeal-cancer-diagnosis
    There are a variety of tests that examine the throat and neck in order to detect and diagnose laryngeal cancer. In many cases, you will start with an ear, nose, and throat specialist (ENT) who will perform the exams and request further testing if your doctor believes there may be a tumor in the larynx. […] If the doctor suspects there could be cancer, a biopsy may be performed. A biopsy requires a tissue sample to be collected from the area of the body where cancer is suspected so that the cells can be tested to see if cancer is present. Some of the following tests or procedures may be run to make a determination. […] Laryngoscopy – A procedure to look at the larynx (voice box) for abnormal areas. A mirror or a laryngoscope (a thin, tube-like instrument with a light and a lens for viewing) is inserted through the mouth to see the larynx. A special tool on the laryngoscope may be used to remove samples of tissue.
  • #1 Laryngeal carcinoma: Radiographic tests and more
    https://www.medicalnewstoday.com/articles/laryngeal-carcinoma-radiology
    Radiology tests can help doctors stage laryngeal cancer, determine treatment, and monitor progress. […] Radiology uses imaging tests to help diagnose and treat diseases. They help stage laryngeal cancer and check if the cancer has spread. […] Doctors may use radiology tests for laryngeal cancer in the following ways: to examine areas that may be cancerous, to identify if and how far the cancer has spread, to check how well the treatment is working, to check for any signs of the cancer returning after treatment. […] Doctors may use the following radiology tests for laryngeal carcinoma: CT scan, MRI scan, PET scan, PET-CT scan. […] A CT scan can examine the tumor size and see if the cancer is spreading to the surrounding lymph nodes. It can also help stage laryngeal cancer by highlighting issues with the lymphatic system in the neck and other structures.
  • #1 Laryngeal (Voice Box) Cancer – UChicago Medicine
    https://www.uchicagomedicine.org/cancer/types-treatments/head-neck-cancers/laryngeal-cancer
    When cancer strikes the larynx, or voice box, many patients have two primary concerns. One is beating the cancer. The other is the risk of losing their voices and their ability to swallow and breathe due to cancer or cancer treatment. […] A variety of tests may be used to diagnose and stage laryngeal cancer. You may undergo some imaging exams, such as an MRI or CT scan. In addition, our cancer specialists may want to look inside your larynx using a scope for a biopsy, which involves removing a small piece of tissue from your larynx. Our pathologists, who specialize in diagnosing head and neck cancers, will then use various laboratory techniques to give us more information about the biology of your cancer, which can help us determine the best treatment for you. […] Most cases of laryngeal cancer are linked to tobacco and alcohol use. More rarely, these cancers can be caused by the human papillomavirus (HPV), gastroesophageal reflux disease (GERD) or other health issues.
  • #2 Laryngeal (Voice Box) Cancer – UChicago Medicine
    https://www.uchicagomedicine.org/cancer/types-treatments/head-neck-cancers/laryngeal-cancer
    When cancer strikes the larynx, or voice box, many patients have two primary concerns. One is beating the cancer. The other is the risk of losing their voices and their ability to swallow and breathe due to cancer or cancer treatment. […] A variety of tests may be used to diagnose and stage laryngeal cancer. You may undergo some imaging exams, such as an MRI or CT scan. In addition, our cancer specialists may want to look inside your larynx using a scope for a biopsy, which involves removing a small piece of tissue from your larynx. Our pathologists, who specialize in diagnosing head and neck cancers, will then use various laboratory techniques to give us more information about the biology of your cancer, which can help us determine the best treatment for you. […] Most cases of laryngeal cancer are linked to tobacco and alcohol use. More rarely, these cancers can be caused by the human papillomavirus (HPV), gastroesophageal reflux disease (GERD) or other health issues.
  • #2 Diagnosing Laryngeal Cancer | NYU Langone Health
    https://nyulangone.org/conditions/laryngeal-cancer/diagnosis
    NYU Langone doctors are experienced in recognizing and diagnosing laryngeal cancer, which arises in the larynx. The earlier laryngeal cancer is detected, the better the chances of a full recovery. If your doctor suspects you have laryngeal cancer, he or she asks about your medical history—for example, whether you have smoked or currently smoke—and whether family members have been diagnosed with the condition. Your doctor also asks about your symptoms and their duration and performs a physical exam. […] To diagnose the condition, NYU Langone doctors may perform several tests, including laryngoscopy and a biopsy. […] During a laryngoscopy, the doctor inserts a laryngoscope—a thin, flexible, lighted tube with a lens at the tip that transmits images to a monitor—through the nose and into the throat. This procedure allows the doctor to look for tumors in the larynx.
  • #2 Throat Cancer Diagnosis | Throat Cancer Tests | American Cancer Society
    https://www.cancer.org/cancer/types/laryngeal-and-hypopharyngeal-cancer/detection-diagnosis-staging/how-diagnosed.html
    Laryngeal and hypopharyngeal cancers are usually found because of signs or symptoms a person is having. If cancer is suspected, tests will be needed to confirm the diagnosis. […] If your doctor suspects a cancer of the larynx or hypopharynx, you will be referred to an ear, nose, and throat (ENT) doctor, also called an otolaryngologist. […] This exam is usually done in an operating room where you are given drugs through an intravenous (IV) line to put you in a deep sleep (under general anesthesia). The doctor uses a rigid laryngoscope to look for tumors in the larynx and hypopharynx. […] In a biopsy, the doctor removes a sample of tissue which is looked at closely in the lab. It’s the only way to be sure that cancer is present. […] If the FNA shows cancer, the pathologist (the doctor examining the samples) can often tell what type of cancer it is.
  • #2 Laryngeal Cancer Diagnosis | Georgia Radiation Therapy
    https://georgiaradiationtherapy.com/head-and-neck-cancer-treatment/laryngeal-cancer/laryngeal-cancer-diagnosis
    There are a variety of tests that examine the throat and neck in order to detect and diagnose laryngeal cancer. In many cases, you will start with an ear, nose, and throat specialist (ENT) who will perform the exams and request further testing if your doctor believes there may be a tumor in the larynx. […] If the doctor suspects there could be cancer, a biopsy may be performed. A biopsy requires a tissue sample to be collected from the area of the body where cancer is suspected so that the cells can be tested to see if cancer is present. Some of the following tests or procedures may be run to make a determination. […] Laryngoscopy – A procedure to look at the larynx (voice box) for abnormal areas. A mirror or a laryngoscope (a thin, tube-like instrument with a light and a lens for viewing) is inserted through the mouth to see the larynx. A special tool on the laryngoscope may be used to remove samples of tissue.
  • #2 Real-time detection of laryngopharyngeal cancer using an artificial intelligence-assisted system with multimodal data | Journal of Translational Medicine | Full Text
    https://translational-medicine.biomedcentral.com/articles/10.1186/s12967-023-04572-y
    Laryngopharyngeal cancer (LPC) includes laryngeal and hypopharyngeal cancer, whose early diagnosis can significantly improve the prognosis and quality of life of patients. Pathological biopsy of suspicious cancerous tissue under the guidance of laryngoscopy is the gold standard for diagnosing LPC. […] We aimed to develop and validate a deep convolutional neural network-based Laryngopharyngeal Artificial Intelligence Diagnostic System (LPAIDS) for real-time automatically identifying LPC in both laryngoscopy white-light imaging (WLI) and narrow-band imaging (NBI) images to improve the diagnostic accuracy of LPC by reducing diagnostic variation among on-expert laryngologists. […] LPAIDS provided high accuracy and stability in detecting LPC in real-time, which showed great potential for using LPAIDS to improve the diagnostic accuracy of LPC by reducing diagnostic variation among on-expert laryngologists.
  • #2 Laryngeal Cancer | MD Anderson Cancer Center
    https://www.mdanderson.org/cancer-types/throat-cancer/laryngeal-cancer.html
    Laryngeal cancer diagnosis is important for laryngeal cancer to be diagnosed as early and accurately as possible. This helps increase your chance for a successful treatment while maintaining your quality of life, including the ability to speak and swallow. […] The following tests can be used to diagnose laryngeal cancer and find out if it has spread. Tests also may be used to monitor the disease and how it is responding to treatment. […] A fiberoptic laryngoscopy is often the first test in a laryngeal cancer diagnosis. During this procedure, a doctor passes a small camera through the nose and examines the larynx. This allows the doctor to determine if a biopsy is needed. […] In a biopsy, doctors retrieve suspected cancer tissue for study under a microscope. A biopsy is the only way to definitively diagnose throat cancer.
  • #2 Laryngeal Cancer | Cedars-Sinai
    https://www.cedars-sinai.org/health-library/diseases-and-conditions/l/laryngeal-cancer.html
    About 11,000 new cases of laryngeal cancer are diagnosed each year. […] To make a diagnosis, your doctor will ask questions about your symptoms and medical history. A physical exam of the throat and neck also is needed. Your doctor will feel for swollen lymph nodes in the neck, and look down your throat with a small, long-handled mirror to check for abnormal areas. […] Other tests may be used for diagnosis: Laryngoscopy – The doctor examines the larynx with a laryngoscope (a thin, lighted tube). […] Biopsy – A biopsy is the removal of cells or tissues, which are viewed under a microscope, to check for signs of cancer. […] Fine Needle Aspiration Biopsy (FNA) – A thin needle is placed into a lump in the neck. The cells are aspirated, and then examined under a microscope to determine if the lump is cancerous.
  • #2 Diagnosis – Laryngeal Advanced Cancer – THE VOICE FOUNDATION
    https://voicefoundation.org/health-science/voice-disorders/voice-disorders/laryngeal-advanced-cancer/diagnosis-laryngeal-advanced-cancer/
    How is advanced laryngeal cancer diagnosed? A physician specializing in throat disorders (otolaryngologist) can diagnose a tumor in the larynx. […] The main way that cancer is diagnosed is through pathology analysis of a biopsy specimen or the excised tumor itself. Briefly, pathology analysis involves the highly magnified study of the tissues under a microscope. Pathology analysis determines whether cancer cells (which look different than normal cells) are present. […] While clinical examination and scans are important in determining the extent of a tumor, the actual diagnosis can only be made when a biopsy is taken from a suspicious area and examined by a pathologist. […] Because of Technique limitations, tumor stage is upgraded (upstaging) after pathology analysis in 20 to 30 percent of cases.
  • #2 Laryngeal carcinoma: Radiographic tests and more
    https://www.medicalnewstoday.com/articles/laryngeal-carcinoma-radiology
    Radiology tests can help doctors stage laryngeal cancer, determine treatment, and monitor progress. […] Radiology uses imaging tests to help diagnose and treat diseases. They help stage laryngeal cancer and check if the cancer has spread. […] Doctors may use radiology tests for laryngeal cancer in the following ways: to examine areas that may be cancerous, to identify if and how far the cancer has spread, to check how well the treatment is working, to check for any signs of the cancer returning after treatment. […] Doctors may use the following radiology tests for laryngeal carcinoma: CT scan, MRI scan, PET scan, PET-CT scan. […] A CT scan can examine the tumor size and see if the cancer is spreading to the surrounding lymph nodes. It can also help stage laryngeal cancer by highlighting issues with the lymphatic system in the neck and other structures.
  • #2 Laryngeal (Voice Box) Cancer – UChicago Medicine
    https://www.uchicagomedicine.org/cancer/types-treatments/head-neck-cancers/laryngeal-cancer
    Symptoms of laryngeal cancer include: A chronic sore throat or cough, A lump in the neck, Ear pain, A hoarse voice, Trouble swallowing. […] At UChicago Medicine, we have successfully treated many early-stage cancers with surgery or radiation alone. When radiation is used, our goal is to target the radiation to the precise location of the cancer and to use the lowest dose possible. This approach helps reduce the toxicity of the treatment, reducing possible side effects. […] For advanced laryngeal cancers, we may first try a combination of chemotherapy and radiation (known as chemoradiation) to cure the cancer, followed by surgery only if the tumor cancer does not respond. Other types of drug therapies may also be used. Immunotherapy, which helps the immune system fight cancer, may be helpful in some patients with laryngeal cancer.
  • #2 Laryngeal Cancer | Condition | UT Southwestern Medical Center
    https://utswmed.org/conditions-treatments/laryngeal-cancer/
    Barium swallow: The patient swallows liquid barium, a substance that shows up on X-rays, and then X-rays are taken. Barium swallows can show abnormalities in the throat and evaluate swallowing. […] Computed tomography (CT) scan: CT uses specialized X-rays with or without a contrast agent to produce cross-sectional 3D images of the throat. […] Magnetic resonance imaging (MRI) scan: MRI uses radio waves and a strong magnet, with or without a contrast agent, to produce detailed images of the throat. MRI can also show whether cancer has spread to lymph nodes in the neck. […] Positron emission tomography (PET)/CT scan: Using small amounts of radioactive materials and a special camera, PET scans produce highly detailed images that can detect cancerous cells. […] Biopsy: Our doctors take a small tissue sample that a pathologist analyzes under a microscope for the presence of cancer. We perform biopsies using a needle or during a laryngoscopy, using a special tool on the scope.
  • #2 Laryngeal cancer – Wikipedia
    https://en.wikipedia.org/wiki/Laryngeal_cancer
    Diagnosis is made by the doctor on the basis of a medical history, physical examination, and special investigations which may include a chest x-ray, CT or MRI scans, and tissue biopsy. […] The examination of the larynx requires some expertise, which may require specialist referral. […] If there is a suspicion of cancer, biopsy is performed, usually under general anaesthetic. This provides histological proof of cancer type and grade. […] A full endoscopic examination of the larynx, trachea, and esophagus is often performed at the time of biopsy. […] For small glottic tumours further imaging may be unnecessary. In most cases, tumour staging is completed by scanning the head and neck region to assess the local extent of the tumour and any pathologically enlarged cervical lymph nodes. […] The final management plan will depend on the site, stage (tumour size, nodal spread, distant metastasis), and histological type. The overall health and wishes of the patient must also be taken into account. A prognostic multigene classifier has been shown to be potentially useful for the distinction of laryngeal cancer of low or high risk of recurrence and might influence the treatment choice in future.
  • #2 Throat cancer – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/throat-cancer/diagnosis-treatment/drc-20366496
    In order to diagnose throat cancer, your doctor may recommend: […] Another type of scope (laryngoscope) can be inserted in your voice box. It uses a magnifying lens to help your doctor examine your vocal cords. This procedure is called laryngoscopy. […] If abnormalities are found during an endoscopy or laryngoscopy, your doctor can pass surgical instruments through the scope to collect a tissue sample (biopsy). The sample is sent to a laboratory for testing. […] Imaging tests, including computerized tomography (CT), magnetic resonance imaging (MRI) and positron emission tomography (PET), may help your doctor determine the extent of your cancer beyond the surface of your throat or voice box. […] Once throat cancer is diagnosed, the next step is to determine the extent (stage) of the cancer. Knowing the stage helps determine your treatment options.
  • #2 What Every Patient Should Know About Laryngeal Cancer | Larynx Cancer | Voice Box Cancer | University of Michigan Rogel Cancer Center
    https://www.rogelcancercenter.org/head-and-neck-cancer/voicebox/what-patients-should-know
    The AJCC has established guidelines for staging of cancer of the larynx that assign a description for the tumor (T), the regional or neck lymph nodes (N) and presence of distant metastases (spread of cancer) (M). […] Many factors enter into decision-making when it comes to the treatment or laryngeal cancer. […] A skilled practitioner experienced in the diagnosis and staging of these cancers can only provide such advice. […] Early cancer of the glottis (vocal cords) or supraglottis (false vocal cords) can be effectively treated with either surgery alone or radiation therapy. […] For those cancers that are of intermediate size (T2, small T3), treatment decisions are more difficult. […] Standard treatment for patients with advanced laryngeal cancer has historically consisted of total laryngectomy, often combined with modified neck dissection.
  • #2 Throat cancer – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/throat-cancer/diagnosis-treatment/drc-20366496
    The stage of throat cancer is characterized with the Roman numerals I through IV. Each subtype of throat cancer has its own criteria for each stage. In general, stage I throat cancer indicates a smaller tumor confined to one area of the throat. Later stages indicate more advanced cancer, with stage IV being the most advanced.
  • #2 Throat Cancer: Causes, Symptoms, and Treatment
    https://patient.info/cancer/throat-cancer-laryngeal-cancer
    In addition to the above tests, if you are confirmed to have throat (laryngeal) cancer then further tests may be done; for example, biopsy samples may be taken from the nearby lymph glands by using a fine needle. This helps to assess if any cancer cells have spread to the lymph glands. […] The common grading system used for throat (laryngeal) cancer is: Grade 1 (low grade). The cells look reasonably similar to normal cells in the larynx. The cancer cells are said to be well differentiated. The cancer cells tend to grow and multiply quite slowly and are not so aggressive. […] By finding out the stage and grade of the cancer it helps doctors to advise on the best treatment options. It also gives a reasonable indication of outlook (prognosis). However, for throat (laryngeal) cancer, it may not be possible to give an accurate staging until after an operation to remove the tumour.
  • #2 Throat Cancer Diagnosis | Memorial Sloan Kettering Cancer Center
    https://www.mskcc.org/cancer-care/types/throat/throat-cancer-diagnosis
    Genomic testing is also called tumor sequencing or molecular profiling. It involves looking at the cells obtained from the tumor to see if there are any genetic mutations that could be linked to the type of cancer you have. […] For people with advanced disease, our experts use a testing approach called MSK-IMPACT. This test, developed by MSK experts, screens for mutations in more than 450 genes at once. […] Based on which mutations we find, we may be able to help you avoid treatments that wont work for you or, in some cases, recommend a drug that has been approved for the specific changes in the tumor you have. You may be able to join a clinical trial testing a new drug therapy. […] Genetic information about the tumor can also help us predict the chances that the cancer will return after treatment.
  • #2 Laryngeal Cancer Diagnosis | Cancer Care Centers of Brevard
    https://www.cancercarebrevard.com/laryngeal-cancer/diagnosis
    Tests that examine the throat and neck are used to help detect laryngeal cancer and find out if the cancer has spread. The following tests and procedures may be used: […] Laryngoscopy: A procedure that looks at the larynx and hypopharynx for abnormal areas using an instrument called a laryngoscope (a thin, tube-like instrument with a light and a lens for viewing). […] Biopsy: If cancer is suspected, a biopsy is performed to remove cells from the larynx so they can be viewed under a microscope. Laryngeal biopsies are usually performed under general anesthesia. […] Biomarker testing of the tumor: For patients with advanced laryngeal cancer, the oncologist may recommend running lab tests on a tumor sample to identify specific genes, proteins, and other factors unique to the tumor. […] The following imaging tests may be used to determine if and how much laryngeal cancer has spread:
  • #2 Real-time detection of laryngopharyngeal cancer using an artificial intelligence-assisted system with multimodal data | Journal of Translational Medicine | Full Text
    https://translational-medicine.biomedcentral.com/articles/10.1186/s12967-023-04572-y
    Laryngoscopy biopsy is the gold standard for diagnosing LPC. […] The manifestation of early LPC is subtle mucosal changes under WLI, and combined with the application of NBI, it can enhance the visualisation of submucosal microvascular morphology; thick black spots can be observed within and surrounding malignant lesions, which improves the detection rate of LPC. […] Our system can recognise WLI and NBI images simultaneously with nearly no requirements for training and experience for laryngologists, achieving a high diagnostic accuracy similar to that of experts and better than that of non-experts in identifying LPC. […] The system could recognise WLI and NBI imaging modalities simultaneously, achieving high accuracy and sensitivity in independent image and video test sets.
  • #2 Laryngeal cancer: Symptoms, types, and diagnosis
    https://www.medicalnewstoday.com/articles/171568
    Laryngeal cancer is a rare cancer in which malignant cells grow in the larynx, or voice box. […] In this article, we look at the symptoms, causes, and treatment of laryngeal cancer. […] Cancer of the larynx may present as a visible lump on the outside of the neck. In these instances, the doctor will recommend a biopsy to help make the final diagnosis. […] If a persons symptoms suggest a laryngeal or other head and neck tumor, a doctor may use a laryngoscope to help with diagnosis. […] A doctor may suggest a CT scan of the neck or head, or an MRI to see the extent or size of the tumor. This can help the doctor determine if the cancer has spread to lymph nodes in the neck. […] Early diagnosis can help support the successful treatment of laryngeal cancer. Based on 20082014 data from the National Cancer Institute, the 5-year survival rate for this type of cancer is just under 61 percent.
  • #2 Throat Cancer: Symptoms, Survival Rate, Causes, Treatment, Prognosis
    https://www.medicinenet.com/larynx_cancer/article.htm
    Treatment plans for throat cancers usually include one or more of the following techniques: surgery, radiation therapy, chemotherapy, proton therapy, targeted therapies, and possibly participation in throat cancer clinical trials. […] Most treatment methods involve continued support for those with throat cancer. […] The prognosis or outcome for patients with throat cancer varies with the stage and location of cancer. […] Most prognostic indicators are based on a 5-year relative survival rate that varies with the type of cancer and its stage. […] Although general throat cancer screening is not available, those individuals that are at higher risk for throat cancer may need to see their physicians if any signs and symptoms raise suspicion of throat cancer.
  • #2 Diagnosis of laryngeal cancer | Canadian Cancer Society
    https://cancer.ca/en/cancer-information/cancer-types/laryngeal/diagnosis
    Diagnosis is the process of finding out the cause of a health problem. Diagnosing laryngeal cancer usually begins with a visit to your family doctor. Your doctor will ask you about any symptoms you have and do a physical exam. Based on this information, your doctor will refer you to a specialist or order tests to check for laryngeal cancer or other health problems. […] The following tests are usually used to rule out or diagnose laryngeal cancer. Many of the same tests used to diagnose cancer are used to find out the stage (how far the cancer has progressed). Your doctor may also order other tests to check your general health and to help plan your treatment. […] A laryngostroboscopy (or videostroboscopy) is used to examine the vocal cords during speech. A camera is attached to a laryngoscope, and flashing lights are used to slow down the image of the cords moving. The procedure is done by an ENT surgeon in a medical office or hospital. A laryngostroboscopy may be done to diagnosis laryngeal cancer.