ENDOSCOPIC LASER SURGERY FOR EARLY GLOTTIC CANCER– COMMENTS ON A CLINICAL CASE
The main objective in larynx cancer is to successfully control the malignant process. As conservative procedures develop, increased importance is given to organ preservation. Glottic tumors can be discovered in early stages, as the most common symptom, hoarseness develops rapidly. Transoral LASER surgery is a convenient option for early stage glottic cancer as it assures both a complete resection of the tumoral mass and preserves the larynx, thus its functions. Generally, it is reserved for TI and TII cancers, but in experienced centers its indication can be extended to more advanced tumors. Depending on tumor extension, clinical status and imagistic examinations, the surgical treatment can be associated with other therapeutic options (radiotherapy, chemotherapy or both). The therapeutic plan must be decided by a multidisciplinary team that includes an ENT surgeon, an oncologist and an anatomopathologist.