Always Take Second Opinion For Surgical Oncology

61 years old tobacco chewer female presented with throat pain and hoarseness. Patient had no comorbidities and clinically had 2cm x 2cm level III lymphadenopathy. On laryngoscopy proliferative growth was seen involving the left vocal cord. Biopsy revealed squamous cell carcinoma. On PET-CT, left sided growth was seen involving pre-epiglottic space with level III lymphadenopathy. Patient was initially advised surgery but the patient had refused and presented to our hospital. Patient was planned for radical chemo-radiotherapy. Patient had grade 2-3 mucositis during treatment but completed treatment well with good compliance.

Post treatment 3 months PET CT showed no uptake at local sites and was symptomatically better. Presently the patient is doing well with no signs of disease recurrence