Transoral surgery in t1-t2 staged laryngeal cancer
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Abstract
A prospective and descriptive study was conducted, including 103 patients who were treated for early stage laryngeal cancer (T1-T2) with transoral surgery. Of these, 55 were diagnosed in stage T1, 16 in stage T1-b and 32 in stage T2. The initial local control (CLI) in patients with malignant T1 laryngeal tumors was: 91%, local control with rescue (CLR) 96%, preservation of larynx function (PFL) 93% and specific survival 96%. In T1-b the CLI was 81%, the CLR 94%, the PFL 94% and the specific survival 94%. In T2 the CLI was 63%, the CLR 94%, the PFL 72% and the specific survival 78%. Transoral surgery in laryngeal cancer with initial T has oncological results similar to other treatments (external surgery or radiotherapy), but we consider that it is the best option because of its low morbidity, shorter duration of treatment, and because it leaves open all the possibilities to treat possible recurrences.
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Karatzanis AD, Psychogios G, Zenk J, et al. Comparison among different available surgical approaches in T1 glottic cancer. Laryngoscope. 2009; 119(9):1704-8. DOI: https://doi.org/10.1002/lary.20537
Rodel RM, Steiner W, Muller RM, et al. Endoscopic laser surgery of early glottic cancer: involvement of the anterior commissure. Head Neck. 2009; 31(5):583-92. DOI: https://doi.org/10.1002/hed.20993
Abdurehim Y, Hua Z, Yasin Y, et al. Transoral laser surgery versus radiotherapy: systematic review and meta-analysis for treatment options of T1a glottic cancer. Head Neck. 2012; 34(1):23-33. DOI: https://doi.org/10.1002/hed.21686
Silver CE, Beitler JJ, Shaha AR, et al. Current trends in initial management of laryngeal cancer: the declining use of open surgery. Eur Arch Otorhinolaryngol. 2009; 266(9):1333-52. DOI: https://doi.org/10.1007/s00405-009-1028-2
Laccoureye O, Muscatello L, Lacourreye L, et al. Supracricoid partial laryngectomy with cricohyoidoepiglottopexy for “early” glottis carcinoma classified as T1-T2 N0 invading the anterior commissure. Am J Otolaryngol. 1997; 18:385-90. DOI: https://doi.org/10.1016/S0196-0709(97)90058-2
Peretti G, Piazza C, Cocco D, et al. Transoral CO2 laser treatment for Tis-T3 glottic cancer: the University of Brescia experience on 595 patients. Head Neck. 2010; 32(8):977-83. DOI: https://doi.org/10.1002/hed.21278
Eckel HE, Thumfart W, Jungehulsing M, et al. Transoral laser surgery for early glottic carcinoma. Eur Arch Otorhinolaryngol. 2000; 257(4):221-6. DOI: https://doi.org/10.1007/s004050050227
Mo HL, Li J, Yang X, et al. Transoral laser microsurgery versus radiotherapy for T1 glottic carcinoma: a systematic review and meta-analysis. Lasers Med Sci. 2017; 32(2):461-7. DOI: https://doi.org/10.1007/s10103-016-2103-8
Higgins K, Shah M, Ogaick M. Treatment of early -stage glottic cancer: meta-analysis; comparison of laser excision versus radiotherapy. J Otolaryngol Head Neck Surg. 2009; 38(6):603-12.
Feng Y, Wang B, Wen S. Laser surgery versus radiotherapy for T1-T2 N0 glottic cancer: a meta-analysis. ORL J Othorhinolaryngol Relat Spec. 2011; 73(6):336-42. DOI: https://doi.org/10.1159/000327097
Motta G, Motta S, Testa D, et al. CO2laser surgery in the treatment of glottic cancer. Head Neck. 2005; 27(7):566-73. DOI: https://doi.org/10.1002/hed.20135
Hakeem AH, Tubachi J, Pradhan SA. Significance of anterior commissure involvement in early glottic squamous cell carcinoma treated with transoral CO2laser microsurgery. Laryngoscope. 2013; 123(8):1912-7. DOI: https://doi.org/10.1002/lary.24012
Weiss BG, Ihler F, Pilavakis Y, et al. Transoral laser for T1b glottic cancer: review of 51 cases. Eur Arch Othorhinolaryngol. 2017; 274(4):1997-2004. DOI: https://doi.org/10.1007/s00405-016-4432-4
García Pita E, Latourrette D, José G, Ruggeri CS. Cáncer de la comisura anterior y su impacto sobre las recurrencias después de la cirugía transoral. Revista Faso. 2013; 20(3):36-43.
Ansarin M, Santoro L, Cattaneo A, et al. Laser Surgery for early glottic cancer: impact of margin status on local control and organ preservation. Arch Otolaryngol Head Neck. 2009; 135(4):385-90. DOI: https://doi.org/10.1001/archoto.2009.10
Remacle M, Matar N, Delos M, et al. Is frozen section reliable in transoral CO2laser assisted cordectomies?. Eur Arch Otorhinolaryngol. 2010; 267(3):397-400. DOI: https://doi.org/10.1007/s00405-009-1101-x
Michel J, Fakhry N, Duflo S, et al. Prognostic value of the status of resection margins after endoscopic laser cordectomy for T1a glottic carcinoma. Eur Ann Otorhinolaryngol Head Neck Dis. 2011; 128(6):297-300. DOI: https://doi.org/10.1016/j.anorl.2011.05.006
Erdag TK, Guneri EA, Avincsal O, et al. Is elective neck dissection necessary for the surgical management of T2 N0 glottic Carcinoma?. Auris Nasus Larynx. 2013; 40(1):85-8. DOI: https://doi.org/10.1016/j.anl.2011.12.001
Psychogios G, Mantsopoulos K, Bohr C, et al. Incidence of occult cervical metastasis in head and neck carcinomas: development over time. J Surg Oncol. 2013; 107(4):384. DOI: https://doi.org/10.1002/jso.23221