The preferred treatment of small early Verrucous carcinoma of the larynx is:: (A) Pulmonary surgery, (B) Electron beam therapy, (C) Total laryngectomy, (D) Endoscopic removal
Answer is D. (d) Endoscopic removal(Ref. Cummings, 6th ed., 1626)Verrucous carcinoma is a rare laryngeal malignancy (comprising 1% of laryngeal carcinomas).It has a warty papillary surface. Biopsy shows hyperkeratosis and acanthosis.Here the tumour being highly differentiated and hence radioresistant, the treatment modality is primarily surgical.