Abstract
The subdivision of the larynx into sites and subsites (supraglottis, glottis, and subglottis) is amply justified from the oncological viewpoint because it is useful for defining the prognosis and planning therapy for the laryngeal carcinoma. The means of neoplastic growth depend partly on the intrinsic properties of the tumour population but also on their site of origin and on the anatomical structures involved in their growth [1, 2]. In the process of neoplastic spread, assessed according to three-dimensional criteria [3], definite development vectors prevail which, at least in the initial phases, are conditioned by the anatomical permeability of the site of origin and by the presence and conformation of submucosal compartments and of ligamental and osteocartilaginous barriers. The different means of growth also involve a different pattern of metastatic spread, for different access to the different laryngeal lymphatic networks.
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Libera, D.D. (2013). Pattern of Spreading of Larynx Cancer. In: Practical Guide to Neck Dissection. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-33977-6_12
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