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Recurrences after endoscopic management of early (T1) glottic carcinoma
Author(s) -
Thomas Jon V.,
Olsen Kerry D.,
Bryan Neel H.,
Desanto Lawrence W.,
Suman Vera J.
Publication year - 1994
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-199409000-00009
Subject(s) - medicine , laryngectomy , larynx , surgery , primary treatment , carcinoma , glottis
From 1976 to 1986, 106 patients with early glottic carcinoma were managed endoscopically at our institution. Twenty‐four (23%) patients required re‐treatment of the larynx for local recurrences or new primary lesions after initial endoscopic management. The probability of remaining free of local recurrence 3 years after primary surgery was estimated to be 0.87 and, after 5 years, it was 0.81. Of the 24 patients who required re‐treatment of their larynx, 10 did so beyond 3 years, indicating a new second primary. In 1 patient who required re‐treatment within 3 years, a new primary developed on the opposite cord. Therefore, true local recurrences developed in 13 patients (12.3%); 3 of these patients (2.8%) ultimately required laryngectomy and 3 are dead (2.8%) with disease.