Wyniki leczenia operacyjnego raka krtani w r óżnych typach laryngektomii częściowej na podstawie materiału własnego

Publication date: September–October 2014 Source:Otolaryngologia Polska, Volume 68, Issue 5 Author(s): Małgorzata Kardasz-Ziomek, Wojciech Ścierski, Grzegorz Namysłowski The aim of the study was to evaluate the oncological results of laryngeal cancer treatment performed in the Laryngology University Ward in Zabrze in the years 1990–2000, depending on the type of partial surgery applied. Materials and methods Retrospective clinical material includes 209 patients in whom surgery was a primary treatment method. No distant metastases (M1) or another malignant cancer were found. In all 209 patients the squamous cell carcinoma of various degree of malignancy (G1–G3) was found. The most common operation in the analyzed group was a chordectomy – 83 surgeries (40%), next, vertical partial laryngectomies – 38 (18%), horizontal glottis surgeries – 28 (13%). In 79 patients (38%) partial laryngectomy was complemented with a nodal operation. The median of the observation period was 9 years. Local recurrence, nodal recurrence and distant metastasis are rated as treatment failure. Treatment effectiveness was evaluated with relation to overall survival, disease-free survival, cause specific survival and local control. All the above-mentioned parameters were analyzed with the updated percentages method. The level of statistical significance was assumed to be p≤0.05. Results The best oncological results were observed after vertical operations. In the vertical opera...
Source: Otolaryngologia Polska - Category: ENT & OMF Source Type: research