Diagnosis dan Penatalaksanaan Tumor Ganas Laring

Dolly Irfandy, Sukri Rahman

Abstract

Abstrak
Laring berperan dalam koordinasi fungsi saluran aerodigestif atas seperti bernafas, berbicara dan menelan.
Laring terbagi tiga yaitu supraglotis, glotis dan subglotis. Laring merupakan daerah tersering kedua untuk kasus
karsinoma sel skuamosa kepala-leher, biasanya berhubungan dengan tembakau dan alkohol. Lebih dari 95% kasus
tumor ganas laring adalah karsinoma sel skuamosa. Pasien tumor ganas laring datang dengan berbagai keluhan
seperti disfonia, obstruksi jalan napas, disfagia, odinofagi dan hemoptisis. Diagnosis tumor ganas laring ditegakkan
berdasarkan anamnesis, pemeriksaan klinis menggunakan endoskopi kaku, serat optik dan biopsi. Penatalaksanaan
tumor ganas laring tergantung stadium dengan modalitas berupa operasi, kemoterapi, radiasi atau terapi kombinasi.
Dilaporkan kasus laki-laki 53 tahun dengan karsinoma glotis stadium III (T3N0M0) squamous cell ca keratinized well
differentiated. Penatalaksanaan pada pasien ini dengan melakukan laringektomi total.
Kata kunci: Tumor ganas laring, karsinoma, laringektomi, tembakau
 
Abstract
Larynx plays a certain role in coordinating functions of the upper aerodigestive tract, such as respiration,
speech, and swallowing. The larynx is divided into three region; supraglottic, glottic, and subglottic. Larynx is the
second most common site for squamous cell carcinoma in the head and neck and usually related to tobacco and
alcohol exposure. Primary malignant tumors of the larynx are squamous cell carcinomas can found more than 95% of
cases. Patients with laryngeal tumors usually present with complaints of hoarseness, respiratory obstruction,
dysphagia, odynophagia and hemoptysis. Diagnosis of laryngeal cancer is made by medical history, clinical
examination using a rigid or fiberoptic endoscope and biopsy. Management of laryngeal tumour depends on stadium
with various modality included surgery, chemotheraphy, radiotheraphy or combined therapy. Reported case of 53
years old male with Glottic carcinoma of the larynx stage III (T3N0M0) squamous cell ca keratinized well differentiated
is presented. The treatment undergoes with total laryngectomy.
Keywords:  Laryngeal cancer, carcinoma, laryngectomy, tobacco

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