Does vocal cord fixation preclude nonsurgical management of laryngeal cancer?
OBJECTIVES/HYPOTHESIS: To determine whether vocal cord fixation precludes nonsurgical management of T3/T4 laryngeal carcinoma. STUDY DESIGN: A retrospective chart review. METHODS: Between 1989 and 2005 patient records with T3/T4 squamous cell carcinoma of the larynx with vocal cord fixation at presentation were reviewed. All were treated with a concomitant cisplatin-based chemoradiotherapy protocol and were part of the institutional head and neck cancer chemoradiotherapy registry. Only patients with adequate pre- and post-treatment fiberoptic evaluations were included. Charts were reviewed for demographics and tumor characteristics; return of vocal cord function; local, regional, or distant recurrence after treatment; and need for salvage surgery. The Kaplan-Meier method was used to estimate outcomes, and the log-rank test was used to compare those patients whose vocal cords remained fixed to those with recovery of function. RESULTS: Twenty-three patients met the inclusion criteria, 19
Related Questions
- Since the T classification of laryngeal tumours involves assessment of vocal cord fixation, does it mean that pT is not possible without such information given by the clinician?
- HOW MUCH DOES IT COST FOR A VOCAL CORD NODULE OPERATION IN INDIA?
- How does Oncuras Online Cancer Management System (OCMS) work?
