<s>[INST] Is surgery advisable for a patient of 80 years with the following medical report.  Microscopic appearance the geographical sections show fragment of glottic tissues comprising of tumour tissues necrotic fragment and bacterial colonies.  The tumour is composed of a typical squamous cell with hyperchromatic nuclei and foci of keratinisation.  Impression moderately differentiated squamous cell carcinoma of the Glottis. [/INST] Hi, Thanks for writing in. Cancer is a condition which can be completely cured if detected early. If the person is having an early stage disease then surgery might help in complete cure and recovery. With recent advances in surgery, the risk due to surgery in cancer treatment is less and in expert hands good result might be achieved. A CT scan of the cancer area is required and if it is in stage 1 or 2 then surgery is possible if it is stage 3 or 4 then chemotherapy and radiation therapy are more suitable. The tumor is a type of skin cancer which is called squamous cell carcinoma and there are fast-growing cells as mentioned. Some parts of the cancer also have dead cells and this means that the cancer is destructive. If doctors have given an option to go for surgery then please proceed with treatment after discussing fitness for surgery with your doctor. Please do not worry. </s>