Advanced laryngeal cancer with skin infiltration: study of 12 cases

Among the upper aero-digestive tract (UADT) cancers, laryngeal carcinoma is reputed to have one of the best prognoses. Advanced stage tumors are still curable although the complex management strategy. Anterior spread of the tumor to the overlaying skin is a rare condition. Local control of the disease is still possible usually with a combination of extended surgery and adjuvant external beam radiotherapy (RT). Survival rates are reasonable as long as an intensive post-operative care and a strict follow up are provided. Our purpose was to investigate T4a patients with skin infiltration in terms of management and survival.