A Retrospective Clinical Evaluation of 126 Patients with Laryngeal Carcinoma

Akio Suzuki, Shigenobu Iwata, Tadao Nishimura, Akihiko Takasu, Mikio Yagizawa, Masao Naitoh, Takao Kuwauchi, Yukimoto Horibe, Kazuo Sakurai

Research output: Contribution to journalArticlepeer-review

Abstract

One hundred and twenty-six patients with laryngeal carcinomas were clinically analyzed who visited our clinic from September 1973 to August 1982 of there 118 were followed retrospectively. The results in this study were as follows; 1) The three- and five-year survival rates were 77% and 71%, respectively. 2) There were 95 cases of the glottic type, 25 of the supraglottic, and 6 cases of the subglottic. 3) According to the classification of stage, there were 65 patients in stage lorn. Thirtysix of them have been well controlled by radiotherapy only without 2 patients. Eighteen patients were treated with reconstruction after partial laryngectomy and postoperative irradiation. The other 11 were treated with total laryngectomy. The crude survival rates for each of them were calculated to be 89%, 100% and 82%, respectively. In 53 patients at stages HI and IV, 17 were treated with total laryngectomy and pre-and post-operative irradiation. The crude survival rate for them was 94%. 4) In 36 patients who received radiation and are classified to be Tl and T2, 2 had recurrence, but 17 treated with reconstruction after partial laryngectomy maintained comfortable conditions for speech and respiration without tumor recurrence. Mainly discussed how to choose the best way of treatment for glottic Tl and T2, i.e. weather to select initial radiation or reconstruction after partial laryngectomy. 5) Our data showed that neck dissection might be necessary for good results even when there is no evidence of neck metastasis.

Original languageEnglish
Pages (from-to)1105-1115
Number of pages11
JournalPractica Oto-Rhino-Laryngologica
Volume76
DOIs
Publication statusPublished - 1983

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

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