Medical MCQ-A middle-aged male comes to the OPD with the only complaint of hoarseness for the past 2 years. He has been a chronic smoker for 30 years. On examination, a reddish area of mucosal irregularity overlying a portion of both cords was seen. Management would include all except:

A middle-aged male comes to the OPD with the only complaint of hoarseness for the past 2 years. He has been a chronic smoker for 30 years. On examination, a reddish area of mucosal irregularity overlying a portion of both cords was seen. Management would include all except:

Cessation of smoking

Bilateral cordectomy

Microlaryngeal surgery for biopsy

Regular follow-up

Question Category:

ENT

Correct Answer:

Bilateral cordectomy

Description:

In the data given above, clinical diagnosis of cancer larynx is made but biopsy is mandatory. Indicators are: chronic smoking habits, hoarse voice persisting for 2 years, irregular vocal cord lesion involving both cords. The lesion is stage I glottic cancer as the pathology is localized to glottis. Treatment of choice in this case would be radiotherapy.

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