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In the rare early tumor, therapy can be planned that preserves the larynx.

Tumors limited to the lateral wall of the pyriform sinus without extension to the pyriform apex can be treated surgically via a lateral pharyngotomy with a neck dissection.

Unfortunately, small tumors are rare and surgical treatment of hypopharyngeal carcinoma usually necessitates total laryngectomy. Neck dissections and postoperative radiation therapy.

The exact margin necessary is unclear, but given the infiltrative nature of these cancers at least 2 -cm margins should be obtained.

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