Contribution of Imagery in Larynx Cancer: About 61 Cases

Extensional imaging of laryngeal tumors relies on multi-bar helical CT scans. This examination requires compliance with a few simple rules in its preparation and performance. The protocol for performing cervico-mediastinal CT scans will be developed. Imaging must take into account not only the initial tumor pathology, but also the entire upper aero-digestive tract and lymph node areas, i.e. acquisition must extend from the base of the skull to the cervico-mediastinal orifice. Thoracic imaging should be performed as a matter of course for overall patient management. Certain deep extensions, only accessible by imaging, are decisive in the choice of treatment: surgery or radio-chemotherapy. In the case of surgery, imaging is a key factor in the choice of total or partial surgery. A complete lymph node survey is also essential in the management of these lymphophilic tumors.