Presentation
Clinical Findings Patients with cancer of the oropharynx usually present with ulcerating cancers. Cervical lymph node metastases are a common presenting sign. [health.am]
For each condition, the text reviews causes, incidence, pathophysiology, clinical presentation, diagnostic tests, differential diagnosis, treatment guidelines (for drug therapy, surgery, diet, pain control, and behavior modification), patient teaching [books.google.com]
Of patients presenting acutely with malignant airway obstructions, more than half will present in respiratory failure requiring emergency airway intervention. [clevelandclinicmeded.com]
The present study also indicated that there is no significant relationship between increased levels of the P53 factor and tumor location. The results of the present research are in accordance with the results obtained by Kazkayasi [18]. [biomedpharmajournal.org]
Patients may also present with other nonspecific symptoms like positional wheezing. [ijccm.org]
Respiratoric
- Hoarseness
The causes of hoarseness are determined after obtaining a detailed medical history of the circumstances preceding the onset of hoarseness and performing a thorough physical examination. [aafp.org]
Differential diagnosis Other diagnoses that need to be considered include other causes of persistent hoarseness, sore throat, earache or cough, depending on the presentation. [patient.info]
Unfortunately, 8 to 10 months may elapse before the first symptoms of hoarseness appear and a diagnosis is made.. [translatespanish.mobi]
Anyone who is hoarse for more than 2 weeks should have laryngoscopy, a procedure in which the doctor directly visualizes the larynx after inserting an instrument called an endoscope. [online-health-care.com]
With stage I disease, the patient may complain of local throat irritation or hoarseness that lasts about 2 weeks. In stages II and III, he usually reports hoarseness. He may also have a sore throat, and his voice volume may be reduced to a whisper. [lifenurses.com]
- Rhinitis
[10th] nerve| J38.5 Laryngeal spasm Inclusion: Laryngismus (stridulus)| P28.89 Other specified respiratory conditions of newborn Inclusion: Congenital laryngeal stridor| Sniffles in newborn| Snuffles in newborn| excludes: early congenital syphilitic rhinitis [codelay.com]
[…] include the nature and timing of the dysphonia; associated symptoms such as pain, dysphagia, cough or shortness of breath; symptoms of gastroesophageal reflux, such as an acid taste in the mouth in the morning; associated sinonasal diseases (allergic rhinitis [aafp.org]
Gastrointestinal
- Gagging
Gag reflex The gag reflex involves a brisk and brief elevation of the soft palate and bilateral contraction of pharyngeal muscles evoked by touching the posterior pharyngeal wall. [dartmouth.edu]
Jaw & Teeth
- Unable to Open Mouth
[…] is dry and mucous is thick (drink water all the time) -Lose sense of smell and taste -Capillaries in neck and face are destroyed and tissues become fibrotic -Pt may be unable to open mouth if oral motor exercises not initiated and continued indefinitely [quizlet.com]
Skin
- Hyperkeratosis
[…] not in isolation-synergistic effect between smoking and alcohol Etiology -GERD often accompanies -Secondhand smoke is risk factor -Carcinoma in situ- malignant cells contained within epithelium of VF's (cells on superficial layer) -Often preceded by hyperkeratosis [quizlet.com]
Musculoskeletal
- Torticollis
Spasmodic torticollis is a condition that often affects the tone of the SCM muscle, although it can affect several other cervical muscles as well. [dartmouth.edu]
- Fracture
Lesions of the nerve (e.g., hypoglossal neurolemmoma, nasopharyngeal tumor along the base of the skull, basal skull fracture) or of the nucleus in the brain stem (e.g., medullary stroke, motor neuron disease or bulbar poliomyelitis) the tongue displays [dartmouth.edu]
Neurologic
- Tremor
Voice quality may be described as breathy, strained, rough, tremorous or weak. On questioning, the physician may discover that what the patient terms hoarseness is actually increased vocal effort or vocal fatigue. [aafp.org]
Search terms included hyperkinetic dysarthria, essential voice tremor, voice tremor, vocal tremor, spasmodic dysphonia, spastic dysphonia, oromandibular dystonia, Meige syndrome, orofacial, cervical dystonia, dystonia, dyskinesia, chorea, Huntington's [aetna.com]
Protrusion frequently causes a fine tremor in the normal tongue, which can obscure or mimic fasciculations. Simply having the patient protrude their tongue in the midline tests strength of the tongue. [dartmouth.edu]
This allows mimicking standard surgical instruments and arm movements, with tremor filtration. [ncbi.nlm.nih.gov]
- Dysarthria
SLP management of individuals with hyperkinetic dysarthria includes behavioral and compensatory strategies for addressing compromised speech and intelligibility. [aetna.com]
Questions Define the following terms: dysarthria, dysphonia, dysphagia. [dartmouth.edu]
- Fine Tremor
Protrusion frequently causes a fine tremor in the normal tongue, which can obscure or mimic fasciculations. Simply having the patient protrude their tongue in the midline tests strength of the tongue. [dartmouth.edu]
- Clumsiness
The patient complains that their tongue feels "thick", "heavy", or "clumsy." Lingual sounds (i.e., l's, t's, d's, n's, r's, etc.) are slurred and this is obvious in conversation even before direct examination. [dartmouth.edu]
Workup
Diagnostic tests The usual workup includes laryngoscopy, xeroradiography, biopsy, laryngeal tomography and computed tomography scans, and laryngography to visualize and define the tumor and its borders. [lifenurses.com]
Treatment
Part II covers more than 50 treatments; Part III, more than 75 procedures; and Part IV, more than 130 diagnostic tests. Entries in each section follow a consistent format. [books.google.com]
TL is not the only available treatment option for such lesions anymore. [journalotohns.biomedcentral.com]
The role of accelerated or hyperfractionated treatment is to increase the total dose delivered and, if possible, shorten the overall treatment time. [e-crt.org]
Assessments were conducted pre-treatment, post-treatment and at 3- month follow-up. [aetna.com]
Survival Rate, Prognosis Pancoast Tumor – Symptoms, Treatment, Survival Rate and Prognosis Medullary Thyroid Cancer – Symptoms, Treatment, Prognosis Gum Cancer – Pictures, Symptoms, Signs, Treatment, Complications [cancerwall.com]
Prognosis
Survival Rate, Prognosis Pancoast Tumor – Symptoms, Treatment, Survival Rate and Prognosis Medullary Thyroid Cancer – Symptoms, Treatment, Prognosis Gum Cancer – Pictures, Symptoms, Signs, Treatment, Complications [cancerwall.com]
Review each disease's clinical features, pathology, differential diagnosis, treatment, and prognosis quickly thanks to a concise, user-friendly, bulleted format.Consider cytopathology, special stains, and cytogenetics where appropriate.Compare different [books.google.com]
Other studies have related apoptotic markers to prognosis in ovarian carcinoma. [nature.com]
P53 Overexpression Impacts on the Prognosis of Laryngeal Squamous Cell Carcinomas. Asian Pacific J Cancer Prev .2011;12(7):1731-4. (Visited 364 times, 2 visits today) [biomedpharmajournal.org]
Prognosis Overall, 7 in 10 men with laryngeal cancer survive the disease for five years or more. [patient.info]
Etiology
[…] laryngeal CA -Linked to heavy smoking and alcohol use -80% probably smoked -Alcohol increases risk enormously when combined with smoking, but not in isolation-synergistic effect between smoking and alcohol Etiology -GERD often accompanies -Secondhand [quizlet.com]
Tobacco, alcohol, asbestos, and nickel in the etiology of cancer of the larynx: a case-control study. Journal of the National Cancer Institute. [headandneckcancerguide.org]
[…] cord (medialization laryngoplasty) are the primary treatment options after identifying and treating the etiology of the paralysis. [aafp.org]
Until the complex molecular interactions of all associated etiologic agents for any cancer can be understood, these interactions are best thought of as associations. [emedicine.medscape.com]
There is an ongoing debate as to the etiology of the decrease in survival as to whether using chemoradiation versus total laryngectomy for earlier stage disease is the cause. Laryngeal malignancies can occur in all three subsites of the larynx. [entokey.com]
Epidemiology
Epidemiology of squamous cell cancer of the head and neck.OtolaryngolClin North Am 1985; 18: 367-88. [biomedpharmajournal.org]
Epidemiology Frequency According to the SEER Cancer Statistics Review of the National Cancer Institute, an estimated 12,260 men and women will be diagnosed with cancer of the larynx in 2013; of those, 3,670 patients will die. [emedicine.medscape.com]
Epidemiology Approximately 80,000 cases of malignant airway obstruction are treated annually in the United States. Cases of CAO occur in 20% to 30% of lung cancer patients. [clevelandclinicmeded.com]
Babak Saedi, Ebrahim Razmpa, Mohammad Sadeghi, Mohammad Mojtahed and Ali Mojtahed, The epidemiology of laryngeal cancer in a country on the esophageal cancer belt, Indian Journal of Otolaryngology and Head & Neck Surgery, 10.1007/s12070-009-0069-6, 61 [mijn.bsl.nl]
Laryngeal cancer includes tumours of the supraglottis, glottis or subglottis. [ 1 ] Within the larynx, the glottis is most frequently affected. [ 2 ] Epidemiology [ 3 ] Cancer of the larynx is the second most common form of head and neck cancer. [patient.info]
Pathophysiology
For each condition, the text reviews causes, incidence, pathophysiology, clinical presentation, diagnostic tests, differential diagnosis, treatment guidelines (for drug therapy, surgery, diet, pain control, and behavior modification), patient teaching [books.google.com]
Laryngeal cancer pathophysiology Laryngeal cancer can be basically classified as either intrinsic or extrinsic. [cancerwall.com]
Studies were included if they reviewed the classification of functional dysphonia or the pathophysiology of MTD. [aetna.com]
Patients in whom HDAC1 was overexpressed and with low sensitivity to radiotherapy had a poorer overall 5-year survival rate. [2] Pathophysiology The larynx is an essential organ that is responsible for the following vital functions: Maintaining an open [emedicine.medscape.com]
ILM have a calcium regulation system profile suggestive of a better ability to handle calcium changes in comparison to other muscles, and this may provide a mechanistic insight for their unique pathophysiological properties [9] Clinical significance Disorders [ipfs.io]
Prevention
Lymph Not very much lymph, which is good since it prevents cancer spread. Histology Like most of the respiratory tract, its mostly non-keratinized ciliated columnar epithelium. [medrevise.co.uk]
Laryngeal cancer treatment The goal of laryngeal cancer treatment is to remove the cancer and prevent it from spreading to other parts of the body. [cancerwall.com]
Rationale Prevents or controls infection. [lifenurses.com]
[…] post this diagnosis could prevent cancer) Symptoms -Depend on location of tumor -Hoarseness is almost immediate (1st sign) -Hoarseness longer than 2 weeks is NEVER normal! [quizlet.com]
Reduces the dead space by 40% In patients with severe respiratory depression, it allows Intermittent Positive Pressure Ventilation (IPPR) For tracheobronchial toilet Prevents aspiration as portex tracheostomy tube has a cuff Creates a bypass to relieve [specialist-ent.com]