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ENT Larynx 263a9979

For carcinoma larynx stage III treatment of choice:

A
Total laryngectomy with radiotherapy
B
Chemotherapy with cisplatin
C
Partial laryngectomy
D
Radiotherapy
High-Yield Explanation
(a) Total laryngectomy with radiotherapy(Ref. Cummings, 6th ed., 1617)This question was asked in 1996 when the treatment of stage III carcinoma larynx used to be total laryngectomy with or without neck dissection followed by radiotherapy.But nowadays the best management of carcinoma larynx stage III is concurrent chemoradiation with cisplatin.Chemotherapy alone is not given in carcinoma larynx.Radiotherapy is used in the management of stage I or II carcinoma larynx.Partial laryngectomy is done for stage I and II tumours where radiation therapy has failed.

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