SEER Training Modules
Case #4
Click an information source below to view the case history.
Physical Exam
05/10/XX
Hoarseness; difficulty breathing for two weeks. No apparent lymphadenopathy.
X-Rays & Scans
05/10/XX
Upper GI: apparent mass extending to esophagus, otherwise unremarkable.
05/10/XX
CXR: Lungs are clear. No evidence of disease.
Scopes
05/10/XX
Direct laryngoscopy and biopsy of laryngeal mass. Findings: fungating mass on right posterior aryepiglottic fold, arytenoid cartilage and anterior half of esophageal inlet.
05/17/XX
Total laryngectomy with bilateral neck dissection.
Laboratory
None
Operative Findings
05/17/XX
No obvious residual unresected tumor.
Pathological Reports
05/10/XX
Biopsy of supraglottic mass: Squamous cell carcinoma with areas of necrosis.
05/17/XX
Total laryngectomy: squamous cell carcinoma, moderately differentiated, penetrates esophagus approximately 2 cm, 0/39 right and left lymph nodes positive.
Treatment
05/17/XX
Surgery: Total laryngectomy and bilateral neck dissection
06/29/XX
Radiation: began IMRT 63 Gy to head and neck
