Operative Techniques in Otolaryngology: Head and Neck Surgery. Geisinger Medical Center Experience for Whole Mount Laryngectomy Specimen.

Abstract

The American Cancer Society estimates approximately 12,380 new cases of laryngeal cancer (0.7% of all cases) with approximately 3820 people dying from the disease. There is 3.86:1 male to female ratio and represent third most prevalent upper aerodigestive tract site, following the oral and pharyngeal regions. Typically affects patients in the fifth decade of life. Accurate diagnosis and management are crucial for patient survival. This study examines the pathological features of laryngectomy specimens and their significance in the diagnosis and management of laryngeal cancer. Our institution's intraoperative evaluation of margins and surgical procedures for laryngeal cancer treatment are also discussed. The study found that gross pathology and histomorphology of laryngeal specimens after laryngectomy are the most accurate methods for determining the extent of tumor involvement. The majority of our procedures involve total or partial laryngectomy. The significance of surgical pathology in the diagnosis and management of laryngeal cancer is highlighted in this article.