Treatment of Laryngeal Cancer — Stage I or Stage II

This protocol applies to patients with laryngeal cancer presenting at stage I or stage II. Most cases at these stages can be treated successfully without removing the whole larynx, and the available approaches vary by tumour location and extent.

The clinical scenario: laryngeal cancer, stage I or stage II — an early-stage presentation in which the range of appropriate interventions and the sequencing of those interventions are defined by the specific site and characteristics of the tumour.

Management at this stage may involve radiation or surgery, with the surgical approach tailored to the extent of disease. For certain presentations, a more limited surgical option may be considered instead of a full procedure. The complete protocol specifies which approach applies, and under what conditions.

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References

Most stage I and II laryngeal cancers can be treated successfully without removing the whole larynx.

Either radiation alone or surgery with a partial laryngectomy can be used in most people.

Some early glottic cancers might be treated by removing the vocal cord with cancer (cordectomy), or even by laser surgery.

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