Rzayev R.M. Рак гортаноглотки -IV стадия (T4NoMo) (I часть)

Rzayev R.M. Hypopharyngeal Cancer, IV stage. A 35-year-old female has been found out squamous-cell carcinoma hypopharynx IV stages without signs metastasis to regional lymph nodes at the moment of inspection. At endoscopy larynx presence of a hilly tumor located in retroarytenoid areas with signs involving it in left pyriform sinus is the patient it is made extended larygectomy with a circular resection laryngopharynx, cervical part of oesophagus and subtotal thyroidectomy. Operation included total removal larynx with laryngopharynx, a part of oropharynx, cervical part of oesophagus and left lobe a thyroid. Presence lesions distale part especially external wall pyriphorm sinus at the left was the indication for removal lobe a thyroid gland in this case. A year ago concerning the given disease it has been made bio - and then chymo - and radiotherapy; then was it is made tracheotomy and it is imposed gastrostoma. Feature of a cancer laryngopharynx is high aggression, fast infiltr