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KMID : 1004320220330010013
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Journal of the Korean Society of Logopedics and Phoniatrics
2022 Volume.33 No. 1 p.13 ~ p.19
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Vocal Fold Leukoplakia: Updates in Diagnosis and Management
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Ji Jeong-Yeon
Kwon Tack-Kyun
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Abstract
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Vocal fold leukoplakia poses a challenge to otolaryngologists due to its various spectrum of pathologic diagnosis. The degree of dysplasia is associated with malignancy risk and the new 2017 WHO classification system changed from the 3-tier system to a 2-tier system consisting of low and high grades. Infections including candidiasis, cryptococcosis, and tuberculosis should also be included in the differential diagnosis. Efforts have been made to evaluate risks using endoscopic technologies such as narrow band imaging, and surgery is essential for histopathological diagnosis. Regarding management, it is important to make an accurate diagnosis and find a balance between oncologic safety and functional outcome.
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KEYWORD
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Vocal cords, Leukoplakia, Laryngeal disease, Precancerous conditions
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