Organ preservation and oncological outcomes in early laryngeal cancer : a propensity score-based study

Copyright © 2021 Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale, Rome, Italy..

BACKGROUND: The rates of laryngeal preservation according to therapeutic modality in patients with initial laryngeal squamous cell carcinoma (LSCC) are still controversial. This study evaluated the rates of laryngeal preservation in patients who underwent treatment with surgery or radiotherapy.

METHODS: This retrospective cohort study evaluated 151 patients with stage I or II LSCC. Ninety-six patients were matched using a propensity-score and outcomes were compared within this group.

RESULTS: Regarding overall, cancer-specific survival and larynx preservation, no differences were observed according to the therapeutic modalities, but patients who underwent radiotherapy had a higher rate of local recurrence than those who underwent surgery. Patients classified as ASA 3 or 4 and treated with radiotherapy showed a tendency of higher risk of larynx loss.

CONCLUSIONS: Patients with stage I or II laryngeal tumours can be submitted to surgery or radiotherapy with similar rates of laryngeal preservation.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:41

Enthalten in:

Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale - 41(2021), 4 vom: 01. Aug., Seite 317-326

Sprache:

Englisch

Beteiligte Personen:

de Carvalho, Genival Barbosa [VerfasserIn]
Kohler, Hugo Fontan [VerfasserIn]
de Mello, Julia Bette Homem [VerfasserIn]
Lira, Renan Bezerra [VerfasserIn]
Pellizzon, Antonio Cássio de Assis [VerfasserIn]
Vartanian, José Guilherme [VerfasserIn]
Kowalski, Luiz Paulo [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Laryngeal neoplasms
Laryngeal radiotherapy
Laryngeal surgery
Organ preservation

Anmerkungen:

Date Completed 21.09.2021

Date Revised 26.04.2022

published: Print

Citation Status MEDLINE

doi:

10.14639/0392-100X-N0870

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM330755064