Recurrence Risk Factors after Radiotherapy in Early Glottic Cancer and Outcome of Salvage Treatment / 대한이비인후과학회지
Korean Journal of Otolaryngology - Head and Neck Surgery
;
: 261-265, 2008.
Article
in Korean
| WPRIM
| ID: wpr-654296
ABSTRACT
BACKGROUND AND OBJECTIVES:
The aim of this study was to find risk factors for recurrence after curative radiotherapy in early glottic cancer and to analyze the result of treatment between salvage total laryngectomy and salvage conservation laryngectomy for recurrent glottic cancer. SUBJECTS ANDMETHOD:
A retrospective analysis was performed for patients of 45 cases of early glottic cancer who were treated with curative radiotherapy from 1997 to 2004. The risk factors analyzed for recurrence in early glottic cancer were gender, age, anterior involvement, bilaterality, T stage and radiotherapy interruption. Fourteen patients who underwent salvage laryngectomy for recurrent glottic cancer were analyzed by Kaplan-Myer method to assess the results of salvage total laryngectomy and salvage conservation laryngectomy.RESULTS:
Forty-two patients were male and only 3 patients were female, with the median age of 62.4 years. Radiotherapy interruption was found to be a risk factor significantly influencing recurrence in univariate and multivariate analyses. The 5-year overall survival rate in salvage total laryngectomy was 77% and that in salvage conservation laryngectomy was 75%.CONCLUSION:
When a curative radiotherapy was interrupted in early glottic cancer before total dosage irradiation, the possibility of recurrence must be considered. In such cases, by choosing an adequate patient group combined with a proper surgical technique, optimal treatment results can be obtained by salvage conser-vation laryngectomy.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Recurrence
/
Laryngeal Neoplasms
/
Multivariate Analysis
/
Survival Rate
/
Retrospective Studies
/
Risk Factors
/
Salvage Therapy
/
Laryngectomy
Type of study:
Etiology study
/
Observational study
/
Risk factors
Limits:
Female
/
Humans
/
Male
Language:
Korean
Journal:
Korean Journal of Otolaryngology - Head and Neck Surgery
Year:
2008
Type:
Article
Similar
MEDLINE
...
LILACS
LIS