Right vocal card growth - biopsy for HPE Histologic features are suggestive of Squamous papilloma with varicose hyperplasia.
Note: suggested clinic or radiological and surgical correlation
Please suggest further action to be taken.
23 years experience
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Although no" cure" is known to exist, some centers have very successful therapies, including state-of-the-art lasers. These therapies can be broadly divided into" surgical" and" non-surgical. Surgical removal of the papillomas is the standard of care today. They will not go away with a pill or an antibiotic. Surgical removal also provides a specimen for the pathologist to analyze for the presence of any pre-cancer or cancer. The goal of any surgical procedure is to remove as much of the papillomatosis as possible without scarring the vocal cords, which may result in irreversible hoarseness. Too aggressive of a surgical procedure can result in a voice that is worse than before surgery. On the other hand, insufficiently aggressive surgery is not worth having if too much papillomatosis is left behind.
Removal of papillomas usually takes place under general anesthesia in an operating room. Once the patient is fully asleep, a special scope holds open the mouth until the throat can be seen under a microscope (see photograph below). The involved areas should be carefully inspected and mapped out. A biopsy is generally taken, especially if an area looks suspicious. A combination of lasers, micro-instruments and injections are used to treat the involved areas. In advanced centers, the ideal laser to treat papillomas is the ktp laser.
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