How would you manage recurrent laryngeal papillomatosis requiring multiple resections of lesions with pathology never revealing any degree of dysplasia?
Would you offer definitive radiation, and if so, to what volume and dose/fractionation? Would your recommendation differ depending on if repeat resections are feasible (without resorting to tracheostomy or laryngectomy.
2 Answers
Mednet MemberInvited Expert
Radiation Oncology · University of Michigan
Answered on
I am not aware of any study of radiotherapy for laryngeal papillomatosis. It is not included in the usual indications for radiotherapy of benign disease. Thus, no radiotherapy. An alternative to repeated surgeries may be photodynamic laser (Motz and Hillel, PMID 27242951).
Join for free or sign in to see the full answer
Mednet Member
Radiation Oncology · Michigan Healthcare Professionals, PC
Answered on
There are limited data but some exist.
If no other options and the patient understands the risks, it may be worth exploring.
Join for free or sign in to see the full answer