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Article
December 1953

CHOICE OF OPERATION IN CARCINOMA OF THE LARYNX

AMA Arch Otolaryngol. 1953;58(6):655-664. doi:10.1001/archotol.1953.00710040682002
Abstract

IN ORDER to discuss the choice of operation in the treatment of carcinoma of the larynx, the nomenclature must be defined. There have been many interpretations of the terms "intrinsic" and "extrinsic" lesions of the larynx, but in this article the classifications suggested by T. E. Walsh, of St. Louis, will be used:

  • Intrinsic: Confined to the true vocal cord only

  • Endolaryngeal: Involving structures within the laryngeal box, i. e., the ventricles, ventricular bands, arytenoids, and interarytenoid space and those cancers of the vocal cord which have spread across the anterior commissure

    1. Without fixation of the vocal cord or arytenoid

    2. With fixation of the vocal cord or arytenoid

    3. Histologic grade

  • Subglottic

  • Extrinsic or Extralaryngeal

It must be remembered that a cancer starting in one area may enlarge and invade another. It is said that the tumors should be classified according to the place

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