• Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Be the first to comment
No Downloads

Views

Total Views
2,681
On Slideshare
0
From Embeds
0
Number of Embeds
0

Actions

Shares
Downloads
143
Comments
0
Likes
2

Embeds 0

No embeds

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
    No notes for slide

Transcript

  • 1. CANCER OF LARYNX PRESENTED BY: P. ARUL VALAN MSc(N),MBA(HM)
  • 2. ANATOMY OF LARYNX
  • 3. DEFINITIONCancer of the larynx is a malignant tumor in the larynx(voice box).
  • 4. INCIDENT RATEIt accounts for 2% to 3% of all malignancies.Four times more in men than women.Most common in age above 60.Each year approximately 9000 new cases are detecting.3700 persons with cancer of larynx will dies.90% of untreated people will die with in 3years.Potentially curable if diagnosed and treated early.
  • 5. ETIOLOGY AND RISK FACTORSCARCINOGENS Tobacco Combined effects of tobacco and alcohol Asbestos Second hand smoke Paint fumes Cement dust Chemicals Tar products Leather and metals
  • 6. Contn..OTHER FACTORS Straining the voice Chronic laryngitis Nutritional deficiencies Familial predisposition Age Gender Race (more prevalent in African American) Weakened immune system
  • 7. PATHOPHYSIOLOGY
  • 8. CLINICAL MANIFESTATIONS The manifestations dependent upon the location of the tumor:Glottic tumor Voice change Hemoptysis Dyspnea Respiratory obstuction Dyspgagia Weight loss Pain
  • 9. contn….Supra glottic Aspiration on swallowing. Sore throat Foreign body sensation Dysphagia Neck mass Hemoptysis Dyspnea Pain in the throat referred to the ear
  • 10. Contn.. SUBGLOTICAirway obstuctionDysphagiaWeight losshemoptysis
  • 11. DIAGNOSTIC EVALUATION History collection Physical examination laryngoscopy Endoscopy biopsy CT scan and MRI Barium swallow
  • 12. MEDICAL MANAGEMENT Chemotherapy:Drugs are used to prevent the multiplication of tumorcells, either by killing or by preventing cell divisionSystemic chemotherapyRegional chemotherapy Chemoprevention Drug Isotretinoin used to prevent the recurrence.
  • 13. Contn…. Radiosensiteizers: drugs that make tumor cells moresensitive to radiation therapywhen used in combination with chemotherapy, itis more effective.
  • 14. SURGICAL MANAGEMENT Cordectomy Supraglottic laryngectomy Hemilaryngectomy Partial laryngectomy Total laryngectomy Thyroidectomy Laser surgery Adjuvent therapy
  • 15. NURSING MANAGEMENTSpeech therapyEsophageal speechElectric larynxTransesophageal puncture
  • 16. STAGES OF CANCER
  • 17. CANCER LARYNX
  • 18. CANCER LARNYX