IN THE choice of a therapeutic modality the only consideration, of course, is the effect it will have on the patient. In spite of this recognized fact, whenever cancer of the larynx comes up for discussion the surgeon and the radiologist often take opposite stands.
I believe that this state is not the result of personal consideration. It stems from two factors. The first factor is that the surgeons are not thoroughly acquainted with the radiologists' statistics and, perhaps, vice versa, and the second is that analysis of statistics are interpreted on the basis of an inadequate classification.
Cancer of the larynx is generally classified as intrinsic and extrinsic.1 This classification is surgical rather than histologic. The intrinsic variety is limited to the true vocal cords and the ventricular bands. A cancer is considered intrinsic when it does not overflow the rim of the larynx. The extrinsic variety involves
KAPLAN S. CANCER OF THE LARYNX CLASSIFIED IN THREE DIMENSIONS: An Aid in Management. Arch Otolaryngol. 1950;51(5):696–698. doi:10.1001/archotol.1950.00700020721007
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