<prompt> In the early stage of which of the following carcinoma, no lymphatics involved:Glottic CAInfraglottic CASupraglottic CAHypopharyngeal CA  <response>: Ans. a Glottic CARef: Dhingras ENT 5th ed. 327 Most common laryngeal malignancies are squamous cell CA 90-95. It can be any of these three sites:Supraglottis2nd MC site. Nodal metastasis occur early. MC to middle jugular nodes Symptom: Throat pain, Dysphagia, referred pain to ear HoarsenessGlottisMC site. Local spread present. Nodal metastasis is always absent as glottis has no or very few lymphatics. Symptoms: Hoarseness Stridor laryngeal obstructionSubglottis3rd MC site. Lymph nodes involved are: Prelaryngeal, Pretracheal, Paratracheal and Lower jugular nodes. Symptoms: Stridor Hoarseness 