Supraglottic Ca present with -a) Hot potato voiceb) Aspirationc) Smoking is common risk factord) Pain is MC manifestatione) LN metastasis is uncommon
High-Yield Explanation
Supraglottic Cancer
It is the second most common laryngeal cancer (most common is glottic cancer)
Most common initial symptom - pain on swallowing. (option d is correct)
Most common / first sign - mass is neck
Small supraglottic lesions not extending to glottis – may present with globus or foreign body sensation and parasthesia
If exophytic they may cause hemoptysis
Large tumors can cause “hot potato voice” (Option ‘a’ is correct)
Hoarseness is a late symptom
Smoking is a risk for all laryngeal carcinomas. (option c is correct)
Lymphatic spread occurs early in case of supraglottic cancer. (as it has rich supply of lymphatics).
NOTE:
Hoarseness of voice is the presenting symptom in glottic carcinoma.