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ENT General 36cb8853

Supraglottic Ca present with -a) Hot potato voiceb) Aspirationc) Smoking is common risk factord) Pain is MC manifestatione) LN metastasis is uncommon

A
acd
B
acd
C
bcd
D
abd
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.

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