Diagnosis of laryngeal cancer

The basic methods of larynx cancer diagnosis were presented. It included subjective and objective examination and laboratory examination. The importance of detailed history of cases determined by the tumor localization was underlined. Indirect and direct laryngoscopy have not lost it importance despite the development of modern methods of larynx cancer diagnosis. Microlaryngoscopy provides the most valuable information about the localization and advancement of neoplastic change. Its also allows for precise taking of specimen for histopathological examination. Radiological method in larynx cancer diagnosis were also taken into consideration particularly laryngotomography while allows for evaluation of subglottic region, ventrical and recesus piriformis. The histological examination remains a decisive factor in the surgery of larynx cancer. Great diagnostic possibilities of neck lymphatic system and larynx are being provided by the ultrasonographic examinations, computer tomography and magnetic tomography of nuclear resonance which allow for detailed evaluation of neoplasm extend and appearance of recurrence and metastases. (author)