Reiter R, Brosch S, Smith E, Pickhard A
Sektion für Phoniatrie & Pädaudiologie, der Universitäts-HNO-Klinik, Ulm.
Laryngorhinootologie. 2013 Dec;92(12):797-807. doi: 10.1055/s-0033-1349085. Epub 2013 Aug 8.
About 2/3 of the larynx carcinomas affect the vocal chords. The main risk factor is smoking. Carcinomas in this localisation often arise from leukoplakias with dysplasia. A typical symptom is dysphonia. Arrest of vibration in microlaryngostroboscopy is a hint that a carcinoma could be present. Transoral laser cordectomy or radiotherapy show equivalent oncological results and results in quality of voice in the treatment of vocal fold carcinoma (T1a). As lymph node and distant metastasis are very rare, follow-up can concentrate on microlaryngoscopy. In case of a suspicious area on the vocal fold, biopsy of the affected tissue is needed to plan correct treatment. The prognosis of the T1 vocal chord carcinoma is quite good with a 5-year survival rate of almost 100%.
约2/3的喉癌累及声带。主要危险因素是吸烟。该部位的癌症常起源于发育异常的白斑。典型症状是发音困难。显微喉镜频闪检查中振动停止提示可能存在癌症。经口激光声带切除术或放射治疗在治疗声带癌（T1a）时显示出相当的肿瘤学效果以及声音质量结果。由于淋巴结和远处转移非常罕见，随访可集中于显微喉镜检查。如果声带出现可疑区域，需要对受影响组织进行活检以规划正确的治疗方案。T1期声带癌的预后相当好，5年生存率几乎为100%。
