title: [Early detection of laryngeal carcinoma: limited improvement possible].
abstract: In the majority of cases, laryngeal cancer is located in the glottis, which gives rise to symptoms of hoarseness at an early stage. These symptoms lead to a high rate (85%) of early detection of glottic cancer. Laryngeal carcinoma at other sites in the larynx is associated with symptoms of hoarseness, difficulties in swallowing and dyspnoea at a later stage. Improvements in awareness, speed of referral, identification of patients at risk and available techniques may result in earlier detection. However, if current Dutch national practice guidelines, of which a revised version has recently been published, are followed it would seem that the possibility of further improvements in early detection of laryngeal carcinoma is limited at this moment.
authors.affiliation: VU Medisch Centrum, afd. KNO-heelkunde/hoofdhalschirurgie, Amsterdam, the Netherlands. r.bree@vumc.nl
authors.forename: Remco
authors.initials: R
authors.lastname: de Bree
mesh_terms: D002277:Carcinoma / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D007822:Laryngeal Neoplasms / Q000175:diagnosis* / Q000628:therapy; D011230:Precancerous Conditions / Q000175:diagnosis* / Q000628:therapy; D011379:Prognosis; D012017:Referral and Consultation; D013997:Time Factors; D016896:Treatment Outcome