| Popis: |
Cancer of larynx and treatment of this disease influences significantly basic functions-breathing, swallowing, voice and therefore all aspects of the patiens life. The treatment objektive for carcinoma of the larynx is to obtain the best cure rate with the optimal preservation of organ function. Radiotherapy and surgery alone or in combination have been the primary treatment modalities for carcinoma of the larynx. Radiotherapy is delivered primarily for early lesions, because the voice duality is better then after surgery. With radiotherapy are treated patients with medical contraindications for general anesthesia or patients who refuse surgery too. In treatment of advanced lesions combination of radiotherapy and surgery unsecure adequate therapeutic effect. So this modalites are combined with chemotherapy. Recently, neoadjuvant or induction chemotherapy combined with radiotherapy has been used in the treatment of advanced operable laryngeal cancer with organ preservation. Only evaluation of therapeutic results leads to rightfulness to use therapeutic modality. It is necessarily to progress uniformly for obtaining of these results. Just now, in this essay are imaged particular possibilities of therapy on workplaces in the Czech republic in comparing with abroad data. |
