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Diagnostic and Therapeutic Endoscopy
Volume 1 (1995), Issue 4, Pages 185-194
http://dx.doi.org/10.1155/DTE.1.185

Endoscopic Findings of Early Stage Vocal Fold Cancer

1Department of Phoniatrics, University ENT-Clinic, Malmö General Hospital, Malmö, Sweden
2Foniatriska avd., Öronkliniken, Malmö S-21401, Sweden

Received 5 April 1994; Accepted 28 November 1994

Copyright © 1995 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

To describe early cancerous and precancerous lesions of the laryngeal vocal folds as well as of the most common differential diagnoses, based on a series of microlaryngoscopic photographs. Some introductory remarks about terminology and the classification of epithelial lesions of the vocal folds are included. The paper ends with some comments as to the management of epithelial thickenings (or leukoplakias) of the vocal folds. Malignancy should be suspected as long as it has not been ruled out by histologic diagnosis on adequate biopsies, which is the only way to correctly evaluate the character of such lesions. Precancerous lesions should be controlled by regular follow up examinations as carefully as invasive carcinomas (posttreatment), because there is a high tendency for recurrences or for later development of malignancy in these cases.