The role of multispiral computed tomography in assessing tumor resectability in early laryngeal cancer: a clinical case
https://doi.org/10.22328/2079-5343-2025-16-4-114-121
Abstract
The described clinical case demonstrates the importance of multispiral computed tomography (MSCT) in the diagnosis of early laryngeal cancer using the developed form for assessing tumor resectability. The article presents the case of patient Ts. 68 years old with a verified diagnosis of stage 1 laryngeal cancer.In September 2024, complaints of hoarseness appeared, no treatment was carried out, in February 2025 the patient sought medical help from an ENT doctor. Suspected of malignant tumor, he was referred to GBUZ OOD. According to the results of the patient’s examination in a single diagnostic algorithm, assessment of the course of the tumor process according to MSCT data, with the joint activity of a radiation diagnostician and a surgeon, the option of surgical treatment by endolaryngeal resection (ELR) was chosen. To determine the resectability of the tumor process in the larynx, a detailed assessment of the tumor condition and its prevalence is necessary before surgical treatment in the form of endolaryngeal resection. MSCT makes it possible to quickly perform a study for calculating and performing minimally invasive surgery, improving oncological and functional results.
About the Authors
E. D. DemichevRussian Federation
Eduard D. Demichev — Radiologist, MSCT Radiation Diagnostics Department, Maxillofacial Surgeon, and Oncologist, Department of Surgical Treatment of Head and Neck Tumors
32 Frunze St., Irkutsk, 664035
P. V. Seliverstov
Russian Federation
Pavel V. Seliverstov — Dr. of Sci. (Med.), Leading Researcher, Head of the Radiation Diagnostics Laboratory, Scientific and Clinical Department of Neurosurgery
1 Bortsov Revolyutsii St., Irkutsk, 664003
R. I. Rasulov
Russian Federation
Rodion I. Rasulov — Dr. of Sci. (Med.), Professor, Head of the Department of Oncology
32 Frunze St., Irkutsk, 664035
References
1. Nizhelskaya D.A., Moshurov I.P., Antonenkov Y.E. Modern Epidemiological Aspects and Medico-Social Factors of Laryngeal Malignant Neoplasms (Review Article). Current Issues in Public Health and Medical Statistics, 2023, No. 1, pp. 622–642 (In Russ.). https://doi.org/10.24412/2312-2935-2023-1-622-642.
2. Jones T.M. et al. Laryngeal cancer: United Kingdom National Multidisciplinary guidelines // The Journal of laryngology and otology. 2016. Vol. 130, No. S2. P. S75–S82. doi: 10.1017/S0022215116000487.
3. Kozhanov A.L., Kozhanov L.G., Kravtsov S.A., Sdvizhkov A.M. Modern aspects of organ-preserving surgery for laryngeal cancer. Bulletin of otorhinolaryngology, 2022, Vol. 87, No. 2, pp. 44–50 (In Russ.). https://doi.org/10.17116/otorino20228702144.
4. Junn J.C., Soderlund K.A., Glastonbury C.M. Imaging of Head and Neck Cancer With CT, MRI, and US // Seminars in Nuclear Medicine. 2020. Vol. 51, No. 1. P. 3–12. https://doi.org/10.1053/j.semnuclmed.2020.07.005.
5. Dvoryanchikov V.V., Kuts B.V., Ushakov V.S., Priporova Y.N., Lisovskaya T.L., Morozov A.D. Application of modern technologies in diagnostics, selection of surgical treatment volume and postoperative monitoring in patients with precancerous and malignant laryngeal neoplasms. Russian Otorhinolaryngology, 2022, Vol. 21, No. 3, pp. 47–52. (In Russ.). https://doi.org/10.18692/1810-4800-2022-3-40-46.
6. Chiesa-Estomba C.M., Ravanelli M., Farina D. et al. Imaging checklist for preoperative evaluation of laryngeal tumors to be treated by transoral microsurgery: guidelines from the European Laryngological Society // Eur. Arch. Otorhinolaryngol. 2020. Vol. 277, No. 6. P. 1707–1714. https://doi.org/10.1007/s00405-020-05869-0.
7. Machiels J.P., René Leemans C., Golusinski W. et al. Squamous cell carcinoma of the oral cavity, larynx, oropharynx and hypopharynx: EHNS-ESMO-ESTRO Clinical Practice Guidelines for diagnosis, treatment and follow-up // Ann. Oncol. 2020. Vol. 31, No. 11. P. 1462–1475. doi: 10.1016/j.annonc.2020.07.011.
8. Vasudevan S.S., Bryan E., Ericksen E. et al. Transoral Laser Microsurgery Versus Radiotherapy for T1–T2 Glottic Cancer with Anterior Commissure Involvement: A Systematic Review and Meta-Analysis // The Laryngoscope. 2025. Vol. 135, No. 6. P. 1861–1871. https://doi.org/10.1002/lary.32005.
9. Chone C.T., Yonehara E., Martins J.E., Altemani A., Crespo A.N. Importance of anterior commissure in recurrence of early glottic cancer after laser endoscopic resection // Arch. Otolaryngol. Head Neck Surg. 2007. Vol. 133, No. 9. P. 882–887. doi: 10.1001/archotol.133.9.882.
10. Sahu1 A., Mahajan A., Palsetia D., Vaish R., Laskar S.G., Kumar J. et al. Imaging Recommendations for Diagnosis, Staging and Management of Larynx and Hypopharynx Cancer // Ind J. Med. Paediatr. Oncol. 2023. Vol. 44, No. 3. P. 54–65. https://doi.org/10.1055/s-0042-1759504.
11. Hans S., Baudouin R., Circiu M.P. et al. Laryngeal Cancer Surgery: History and Current Indications of Transoral Laser Microsurgery and Transoral Robotic Surgery // J. Clin. Med. 2022. Vol. 11, No. 19. P. 5769. doi: 10.3390/jcm11195769.
12. Karpenko A.V., Sibgatullin R.R., Boyko A.A., Nikolaeva O.M. Oncological results of open vertical resections in early cancer of the middle larynx. Tumors of the head and neck, 2023, Vol. 13, No. 2, pp. 18–25 (In Russ.). https://doi.org/10.17650/2222-1468-2023-13-2-18-25.
13. Agnello F., Cupido F., Sparacia G., Midiri F., Miroddi M., Grassedonio E., Galia M. Computerised tomography and magnetic resonance imaging of laryngeal squamous cell carcinoma: A practical approach // The neuroradiology journal. 2017. Vol. 30, No. 3. P. 197–204. https://doi.org/10.1177/1971400916689373.
14. Van Egmond S.L., Stegeman I., Pameijer F.A., Bluemink J.J., Terhaard C.H., Janssen L.M. Systematic review of the diagnostic value of magnetic resonance imaging for early glottic carcinoma // Laryngoscope Investig. Otolaryngol. 2018. Vol. 3, No. 1. P. 49–55. doi: 10.1002/lio2.138.
15. Priya S.R., Dandekar M., Paul P., Dravid C.S., Anand A., Keshri S. Imaging for Laryngeal Malignancies: Guidelines for Clinicians // Indian journal of otolaryngology and head and neck surgery: official publication of the Association of Otolaryngologists of India. 2023. Vol. 75, No. 4. P. 3386–3395. https://doi.org/10.1007/s12070-023-03986-w.
Review
For citations:
Demichev E.D., Seliverstov P.V., Rasulov R.I. The role of multispiral computed tomography in assessing tumor resectability in early laryngeal cancer: a clinical case. Diagnostic radiology and radiotherapy. 2025;16(4):114-121. (In Russ.) https://doi.org/10.22328/2079-5343-2025-16-4-114-121
JATS XML


























