### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
i have undergone a surgery for Total Laryngectomy + Partial Pharyngectomy with Total Thtroidectomy in which after the removal of disectional parts from neck the biopsy reports of the same is hereunder:- Structures Invaded - Mucosa, Muscle (Cartilage Free) adjacent Mucosa with Mild Dysplasia, Diastance from nearest Muscosal Margin - 0.3 cn (Inferolateral), Distance from deep margin - 0.1 cm (left lateral), Lateral Soft Tissue Margin - 0.1 (Left Lateral), Soft tissue at the base of tongue - Free from Tumor, Bone Invasion - Absent, Vascular invasion - Not Evident, Perineural Invasion - Not Evident, Stromal Response - Lymphoplasmacytic Infiltrate and Desmoplasia - Moderate, Bilateral Vocal cords are free of Tumor, Sections from Strap Muscle is Unremarkcable and is free from Tumor, Margins - All the surgical cuts margins are free from Tumor, Tracheomostomy Site - Free from Tumor, Thyroid Lobes - Unremarkable, Lymphnodes - 2 Nodes are Identified, Both are Free from Tumor, SND - LYMPHNODES - 15 Nodes Isolated, All Are Free. Opinion :- Squamous Cell Carcinoma - Moderately Differentiated of Hypopharynx Area. Please tell me whether this surgery was most required or I could be treated through the radiotherapy Plus chemotherapy as after this surgery I not only have lost my voice but social status as well as business & respect in the society.

### output:

Hi, dairy have gone through your question. I can understand your concern. You have squamous cell carcinoma of larynx.  It is in early stage. Surgery was really needed to prevent further spread of disease and save your life.  Surgery followed by radiotherapy and chemotherapy is the treatment of choice is this case.  Your reports suggest cancer is limited to larynx and it's not spread in adjacent area.  So it's good for you.  Consult your oncologist and take further treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.