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ENT · Head and neck tumours: T category of glottic carcinoma
Sample itemA glottic carcinoma involves both vocal folds including the anterior commissure, with normal cord mobility. What is the T category?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. T1b
In glottic cancer, T1a is limited to one vocal fold and T1b involves both, either with normal mobility. T2 extends to the supraglottis or subglottis or impairs mobility, and T3 is limited to the larynx with cord fixation or invasion of the paraglottic space or inner thyroid cartilage.
Option by option
A. T1a
T1a is restricted to one cord.
B. T3
T3 requires a fixed cord or deeper invasion.
C. T2
T2 requires extension above or below the glottis or impaired mobility.
D. T1b (correct)
Correct. Involvement of both cords with normal mobility is T1b.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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