Multiple choice

A patient is present with Carcinoma of the larynx, involving the left false cords, left arytenoids and the left aryepiglottic folds with bilateral mobile true cords. Treatment of choice is

  1. vertical hemilaryngectomy

  2. horizontal hemilaryngectomy

  3. radiotherapy followed by chemotherapy

  4. total laryngectomy
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B Correct answer
Explanation

The tumor involves the left false cord, left arytenoids, and left aryepiglottic folds with bilateral mobile true cords. This anatomical distribution indicates a supraglottic tumor that can be resected with horizontal supraglottic laryngectomy (also called horizontal hemilaryngectomy in this context). Vertical hemilaryngectomy is used for glottic tumors. Total laryngectomy is too radical for this localized lesion with mobile cords. Chemoradiation is not primary treatment for this resectable early-stage tumor.

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