Treatments for carcinoma of the glottis
Stages 1 and 2 carcinoma of the glottis @(Model.HeadingTag)>
Radiation therapy and surgery are the treatments used for stages 1 and 2 carcinoma of the glottis.
Radiation therapy is a common treatment for stages 1 and 2 carcinoma of the glottis.
Surgery that may be used for stage 1 carcinoma of the glottis includes:
- endoscopic laser surgery
- cordectomy (removal of part or all of the vocal cords)
- partial laryngectomy (removal of part of the larynx)
Surgery that may be used for stage 2 includes:
- endoscopic laser surgery
- partial or total laryngectomy depending on the location of the tumour
Stages 3 and 4 carcinoma of the glottis @(Model.HeadingTag)>
Treatment for stages 3 and 4 carcinoma of the glottis is often a combination of surgery, radiation and chemotherapy.
Radiation therapy may be used:
- as the main treatment with chemotherapy given during the same time period to avoid a total laryngectomy
- alone in people who cannot cope with chemoradiation and surgery
- alone or with chemotherapy after surgery if the tumour is hard to remove, can’t be completely removed or has spread to nearby tissue or lymph nodes
- with radiation therapy given during the same time period (chemoradiation) as the main treatment or following surgery if the tumour is difficult to remove, can’t be completely removed or has spread to nearby tissue or lymph nodes
- as the first treatment (induction chemotherapy) before treatment with chemoradiation or surgery
In some cases laser surgery may be the first treatment given for stage 3 glottic cancer. A total laryngectomy may be the first treatment given for large cancers, especially stage 4.
Targeted therapy may be used with radiation therapy instead of chemotherapy if you can’t cope well with chemoradiation.
Immunotherapy may be used to treat
Recurrent carcinoma of the glottis @(Model.HeadingTag)>
Recurrent carcinoma of the glottis means that the cancer has come back after it has been treated. Treatments for recurrences include:
- further surgery with or without radiation therapy after surgery
- further radiation therapy for small recurrences for people who cannot have or don’t want to have a laryngectomy
If you can’t have or don’t want cancer treatment @(Model.HeadingTag)>
You may want to consider a type of care to make you feel better without treating the cancer itself. This may be because the cancer treatments don’t work anymore, they’re not likely to improve your condition or they may cause side effects that are hard to cope with. There may also be other reasons why you can’t have or don’t want cancer treatment.
Talk to your healthcare team. They can help you choose care and treatment for advanced cancer.
Clinical trials @(Model.HeadingTag)>
American Cancer Society. Laryngeal and Hypopharyngeal Cancers. 2014: https://www.cancer.org/cancer/laryngeal-and-hypopharyngeal-cancer.html.
Ferris, RL, Blumenschein G, Fayette J, Guigay J, et al . Nivolumab for recurrent squamous cell carcinoma of the head and neck. New England Journal of Medicine. 2016.
Mendenhall WM, Werning JW . Cancer of the larynx: General principles and management. Harrison LB, Sessions RB, Kies MS (eds.). Head and Neck Cancer: A Multidisciplinary Approach. 4th ed. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins; 2014: 18a: 441-458.
Mendenhall WM, Werning JW, Pfister DG . Cancer of the head and neck. DeVita VT Jr, Lawrence TS, & Rosenberg SA. Cancer: Principles and Practice of Oncology. 10th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015: 38: 422-473.
National Cancer Institute. Laryngeal Cancer Treatment for Health Professionals (PDQ®). 2016: http://www.cancer.gov/types/head-and-neck/hp/laryngeal-treatment-pdq#section/all.