Abstract
An 82-year-old man with a 100-pack-a-year smoking history developed hoarseness. His initial videostroboscopy demonstrated an exophytic mass on the right middle to posterior true vocal cord, ulceration of the anterior true vocal cord, anterior commissure involvement, and normal vocal cord mobility (Fig. 1). The biopsy of the vocal cord mass demonstrated invasive squamous cell carcinoma (SCC). The staging neck computed tomography (CT) scan was negative for paraglottic fat space invasion and lymphadenopathy. The cancer was staged as clinical cT1 cN0 cM0, stage I. He completed definitive radiation 63 Gy in 28 fractions using carotid-sparing intensity modulated radiation therapy (IMRT) (Fig. 2A).
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