E so pha g us Sto ma c h 4/ 2/ 15 Collecting Cancer Data: Larynx - PDF document

E so pha g us Sto ma c h 4/ 2/ 15 Collecting Cancer Data: Larynx & Thyroid 2014-2015 NAACCR We b ina r Se rie s Ma y 7, 2015 Q&A • Ple a se sub mit a ll q ue stio ns c o nc e rning we b ina r c o nte nt thro ug h the Q&A pa ne l. Re minde r: • I f yo u ha ve pa rtic ipa nts wa tc hing this we b ina r a t yo ur site , ple a se c o lle c t the ir na me s a nd e ma ils. • We will b e distrib uting a Q&A do c ume nt in a b o ut o ne we e k. T his do c ume nt will fully a nswe r q ue stio ns a ske d during the we b ina r a nd will c o nta in a ny c o rre c tio ns tha t we ma y disc o ve r a fte r the we b inar. 2 F ABUL OUS PRIZE S 3 NAACCR 2014-2015 We b ina r Se rie s 1

E so pha g us Sto ma c h 4/ 2/ 15 L ARYNX 4 ANAT OMY • Site • Site • Glo ttis • Supra g lo ttis • Sub site • Sub site • Supra hyo id e pig lo ttis • T rue Vo c a l Co rds • F a lse Vo c a l Co rds • Ante rio r Co mmissure s • Ve ntric le s • Po ste rio r Co mmissure s • Arye pig lo ttic fo lds • Site • a ryte no ids • Sub g lo ttis • Sub site • No ne 5 ANAT OMY http:/ / e n.wikipe dia .o rg / wiki/ Pha rynx# / me dia / F ile :I llu01_he a d_ne c k.jpg 6 NAACCR 2014-2015 We b ina r Se rie s 2

E so pha g us Sto ma c h 4/ 2/ 15 Supra g lo ttis 30-35% Glo ttis 60-65% Sub g lo ttis 5% Image Source: SEER Training Website • Supra g lo ttis • E pig lo ttis • Supra hyo id • Infra hyo id • Arye pig lo ttic fo lds • Ve ntric ula r b a nds (F a lse Vo c a l Co rds) • Ve ntric ula r fo lds • a ryte no ids L ARYNX 8 SQUAMOUS CE L L CARCINOMA • Ne a rly a ll la ryng e a l c a rc ino ma s o f the la rynx a re e pithe lia l • Prima rily sq ua mo us c e ll c a rc ino ma • Othe r type s o f e pithe lia l c a rc ino ma 's o f the la rynx inc lude • Ba sa lo id sq ua mo id c a rc ino mas • Spindle -c e ll (i.e ., sa rc o ma to id) c a rc ino mas • Sma ll-c e ll c a rc ino mas • Na so pha ryng e al-type undiffe re ntiate d c a rc ino mas (i.e ., lympho e pithe lio mas) • Ca rc ino mas o f the mino r sa livary g la nd 9 NAACCR 2014-2015 We b ina r Se rie s 3

E so pha g us Sto ma c h 4/ 2/ 15 MUCOSAL ME L ANOMA OF T HE HE AD AND NE CK • Oc c ur in muc o sa l site s o f the he a d a nd ne c k • T wo thirds o c c ur in na sa l c a vity a nd pa ra na sa l sinuse s • One q ua rte r o c c ur in o ra l c a vity • Re ma inde r o c c ur in o the r site s o f the he a d a nd ne c k • Hig hly Ag g re ssive • Ca nc e rs limite d to the muc o sa a re a ssig ne d T 3 N0 M0 Sta g e I I I • In situ muc o sa l me la no ma ’ s ve ry ra re a nd a re e xc lude d fro m sta g ing AJCC Sta g ing Ma nua l 7 th e ditio n 10 RE GIONAL L YMPH NODE S T E RMINOL OGY Prima ry • I psila te ra l • Sa me side a s tumo r • Co ntra la te ra l • Oppo site side a s the tumo r • Bila te ra l • Sa me side a nd o ppo site side I llustra tio n c o urte sy o f the Ame ric a n So c ie ty o f Clinic a l Onc o lo g y. Jug ulo dig a stric / L e ve l I I L e ve l VI / Pa ra - la ryng e al I llustra tio n c o urte sy o f the Ame ric a n So c ie ty o f Clinic a l Onc o lo g y. 12 NAACCR 2014-2015 We b ina r Se rie s 4

E so pha g us Sto ma c h 4/ 2/ 15 L e ve l I / sub me nta l o r sub ma ndib ula r L e ve l I I I / Middle De e p L e ve l I V/ Ce rvic a l L o we r De e p Ce rvic a l I llustra tio n c o urte sy o f the Ame ric a n So c ie ty o f Clinic a l Onc o lo g y. 13 F a c ia l/ pa ro tid I llustra tio n c o urte sy o f the Ame ric a n So c ie ty o f Clinic a l L e ve l VI I / Onc o lo g y. L e ve l V/ Supe rio r Po ste rio r me dia stina l T ria ng le (b e lo w the g ro up supra ste rnal no tc h) 14 Uppe r Ce rvic a l L o we r Cric o id Ce rvic a l Ca rtilag e I llustra tio n c o urte sy o f the Ame ric a n So c ie ty o f Clinic a l Onc o lo g y. 15 NAACCR 2014-2015 We b ina r Se rie s 5

E so pha g us Sto ma c h 4/ 2/ 15 http:/ / visua lso nline .c a nc e r.g o v/ pre vie w.c fm? ima g e i 16 d=1775&file fo rma t=jpg ST AGING: L ARYNX 17 AJCC Ca nc e r Sta g e L ARYNX: CHAPT E R 5 18 NAACCR 2014-2015 We b ina r Se rie s 6

E so pha g us Sto ma c h 4/ 2/ 15 AJCC CANCE R ST AGE : L ARYNX • I CD-O-3 T o po g ra phy Co de s • C10.1 Ante rio r (ling ua l) surfa c e o f e pig lo ttis • C32.0 Glo ttis • C32.1 Supra g lo ttis (la ryng e a l surfa c e ) • C32.2 Sub g lo ttis • C32.8 Ove rla pping le sio n o f la rynx • C32.9 L a rynx NOS • I CD-O-3 Histo lo g y Co de Ra ng e s • 8000-8576, 8940-8950, 8980-8981 19 AJCC CANCE R ST AGE : L ARYNX CL ASSIF ICAT ION • Clinic a l sta g ing • E vide nc e prio r to tre a tme nt • Na so la ryng o sc o py • L a ryng e a l tumo r b io psy • Ra dio lo g ic no da l sta g ing to supple me nt c linic a l e xa m • Mic ro la ryng o sc o py 20 AJCC CANCE R ST AGE : L ARYNX CL ASSIF ICAT ION • Pa tho lo g ic sta g ing • E vide nc e o b ta ine d in c linic a l sta g ing a nd in histo lo g ic study o f surg ic a lly re se c te d spe c ime n • L ympha de ne c to my de sc riptio n de sc rib e s size , numb e r, a nd po sitio n o f invo lve d no de s a nd pre se nc e o r a b se nc e o f e xtra c a psula r spre a d (E CS) 21 NAACCR 2014-2015 We b ina r Se rie s 7

E so pha g us Sto ma c h 4/ 2/ 15 AJCC CANCE R ST AGE : L ARYNX • T Ca te g o ry • T X: Prima ry tumo r c a nno t b e a sse sse d • T 0: No e vide nc e o f prima ry tumo r • T is: Ca rc ino ma in situ 22 AJCC CANCE R ST AGE : L ARYNX Ca te g o ry S upraglo ttis • T • T 1: L imite d to 1 sub site o f supra g lo ttis with no rma l vo c a l c o rd mo b ility • T 2: I nva de s muc o sa o f mo re tha n 1 a dja c e nt sub site o f supra g lo ttis o r g lo ttis o r re g io n o utside the supra g lo ttis witho ut fixa tio n o f la rynx 23 AJCC CANCE R ST AGE : L ARYNX • T Ca te g o ry S upraglo ttis • T 3: L imite d to la rynx with vo c a l c o rd fixa tio n a nd/ o r inva de s a ny o f the fo llo wing : po stc ric o id a re a , pre e pig lo ttic spa c e , pa ra g lo ttic spa c e , a nd/ o r inne r c o rte x o f thyro id c a rtila g e • T 4a : Mo de ra te ly a dva nc e d lo c a l dise a se . I nva de s thro ug h the thyro id c a rtila g e a nd/ o r inva de s tissue s b e yo nd the la rynx • T 4b : Ve ry a dva nc e d lo c a l dise a se . I nva de s pre ve rte b ra l spa c e , e nc a se s c a ro tid a rte ry, o r inva de s me dia stina l struc ture s 24 NAACCR 2014-2015 We b ina r Se rie s 8

E so pha g us Sto ma c h 4/ 2/ 15 AJCC CANCE R ST AGE : L ARYNX • T Ca te g o ry Glo ttis • T 1: L imite d to vo c a l c o rds with no rma l mo b ility • T 1a : L imite d to 1 vo c a l c o rd • T 1b : I nvo lve s b o th vo c a l c o rds • T 2: E xte nds to supra g lo ttis a nd/ o r sub g lo ttis, a nd/ o r with impa ire d vo c a l c o rd mo b ility 25 AJCC CANCE R ST AGE : L ARYNX Ca te g o ry G lo ttis • T • T 3: L imite d to la rynx with vo c a l c o rd fixa tio n a nd/ o r inva sio n o f pa ra g lo ttic spa c e , a nd/ o r inne r c o rte x o f thyro id c a rtila g e • T 4a : Mo de ra te ly a dva nc e d lo c a l dise a se . I nva de s thro ug h o ute r c o rte x o f thyro id c a rtila g e a nd/ o r inva de s tissue s b e yo nd the la rynx • T 4b : Ve ry a dva nc e d lo c a l dise a se . I nva de s pre ve rte b ra l spa c e , e nc a se s c a ro tid a rte ry, o r inva de s me dia stina l struc ture s 26 AJCC CANCE R ST AGE : L ARYNX • T Ca te g o ry S ubglo ttis • T 1: L imite d to 1 sub g lo ttis • T 2: E xte nds to vo c a l c o rd(s) with no rma l o r impa ire d mo b ility • T 3: L imite d to la rynx with vo c a l c o rd fixa tio n 27 NAACCR 2014-2015 We b ina r Se rie s 9

E so pha g us Sto ma c h 4/ 2/ 15 AJCC CANCE R ST AGE : L ARYNX • T Ca te g o ry S ubglo ttis • T 4a : Mo de ra te ly a dva nc e d lo c a l dise a se . I nva de s thro ug h c ric o id o r thyro id c a rtila g e a nd/ o r inva de s tissue s b e yo nd the la rynx • T 4b : Ve ry a dva nc e d lo c a l dise a se . I nva de s pre ve rte b ra l spa c e , e nc a se s c a ro tid a rte ry, o r inva de s me dia stina l struc ture s 28 AJCC CANCE R ST AGE : L ARYNX • N Ca te g o ry: • NX: Re g io na l lymph no de s c a nno t b e a sse sse d • N0: No re g io na l lymph no de me ta sta sis • N1: Me ta sta sis in sing le ipsila te ra l lymph no de , 3 c m o r le ss in g re a te st dime nsio n • N2: Me ta sta sis in sing le ipsila te ra l lymph no de , mo re tha n 3 c m b ut no t mo re tha n 6 c m in g re a te st dime nsio n, o r in multiple ipsila te ra l lymph no de s, no ne mo re tha n 6 c m in g re a te st dime nsio n, o r in b ila te ra l o r c o ntra la te ra l lymph no de s, no ne mo re tha n 6 c m in dime nsio n 29 AJCC CANCE R ST AGE : L ARYNX • N Ca te g o ry: • N2a : Me ta sta sis in sing le ipsila te ra l lymph no de , mo re tha n 3 c m b ut no t mo re tha n 6 c m in g re a te st dime nsio n • N2b : Me ta sta sis in multiple ipsila te ra l lymph no de s, no ne mo re tha n 6 c m in g re a te st dime nsio n • N2c : Me ta sta sis in b ila te ra l o r c o ntra la te ra l lymph no de s, no ne mo re tha n 6 c m in dime nsio n • N3: Me ta sta sis in a lymph no de , mo re tha n 6 c m in g re a te st dime nsio n 30 NAACCR 2014-2015 We b ina r Se rie s 10