title: [Histopathological evaluation of the subtotal laryngectomy specimen].
abstract: BACKGROUND
  The goal of conservative surgical treatment of laryngeal cancer is to obtain oncological control with preservation of laryngeal function. The concept of laryngeal function preservation should be understood as the preservation of the patient's ability to breathe normally with neither tracheostomy nor aspiration, and maintaining intelligible speech. This can be achieved by a balance between two fundamental aspects, proper patient selection (based on tumour extension and preoperative laryngeal function), and an adequate histopathological analysis of the surgical specimen. Supracricoid subtotal laryngectomy is the voice conservative surgical technique that offers the best possibility of control in patients with locally advanced laryngeal cancer. The proper histopathological analysis allows staging and selecting patients for adjuvant therapy, avoiding unnecessary ones as well as designing monitoring and surveillance programs based on risk factors.
  
  
  OBJECTIVE
  To highlight key points in the histopathological evaluation of the surgical specimen of a subtotal laryngectomy.
  
  
  CONCLUSIONS
  The proper communication between the surgeon and pathologist, offering complete information on preoperative clinical evaluation and the knowledge of the key points in the evaluation of the surgical specimen (sites of tumour leakage and surgical resection margins) are fundamental parameters to achieve a proper histopathological evaluation of the surgical specimen.
authors.affiliation: Departamento de Tumores de Cabeza y Cuello, Hospital de Oncología, Centro Médico Nacional Siglo XXI. Instituto Mexicano del Seguro Social, México D.F., México.
authors.forename: Manuel
authors.initials: M
authors.lastname: García-Sánchez
authors.affiliation: Departamento de Patología, Hospital de Oncología, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México D.F., México.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Romero-Durán
authors.affiliation: Departamento de Patología, Hospital de Oncología, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México D.F., México.
authors.forename: Alejandra
authors.initials: A
authors.lastname: Mantilla-Morales
authors.affiliation: Departamento de Patología, Hospital de Oncología, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México D.F., México. Electronic address: gal61@prodigy.net.mx.
authors.forename: José Francisco
authors.initials: JF
authors.lastname: Gallegos-Hernández
mesh_terms: D006801:Humans; D033183:Interdisciplinary Communication; D007822:Laryngeal Neoplasms / Q000473:pathology* / Q000601:surgery; D007825:Laryngectomy / Q000379:methods*; D007830:Larynx / Q000473:pathology*; D008495:Medical Oncology; D060787:Neoplasm Grading; D009361:Neoplasm Invasiveness; D059351:Organ Sparing Treatments; D010036:Otolaryngology; D010338:Pathology, Clinical / Q000379:methods*; D010348:Patient Care Team; D018579:Patient Selection; D013048:Specimen Handling; D014827:Vocal Cords
keywords: Cáncer de laringe; Laringectomía; Laringectomía parcial; Laryngeal cancer; Laryngectomy; Partial laryngectomy