Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-04T18:23:23.358Z Has data issue: false hasContentIssue false

Our experience in the surgical treatment of T1 carcinoma of the vocal cord

Published online by Cambridge University Press:  29 June 2007

J. Daniilidis*
Affiliation:
Thessaloniki, Greece
A. Nikolaou
Affiliation:
Thessaloniki, Greece
V. Symeonidis
Affiliation:
Thessaloniki, Greece
*
Prof. John Daniilidis University ENT Clinic, Ahepa Hospital, Thessaloniki, Greece

Abstract

From 1971 to 1986, 94 patients suffering from T1 glottic carcinoma underwent cordectomy at the University ENT Clinic of Thessaloniki, Greece. There were five female and 89 male patients with a median age of 61.7 years.

Two year survival rate was 93.7 per cent; five year survival rate was 93.2 per cent. Seventeen of the patients suffered recurrence, but 11 of them after laryngectomy or radiotherapy are alive with no sign of the disease. Tracheostomy was not performed in the majority of our cases. The relationship between the site of recurrence and survival as well as the role of radiotherapy before and after cordectomy in some of our patients are discussed.

We believe that despite the good results of radiotherapy in T1 carcinoma of the vocal cord and the introduction of other treatment modalities such as CO2 laser, cordectomy by laryngofissure is still of value with very good survival results and minimal discomfort for the patient.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1990

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Akine, Y., Taken, E., Jnouye, K. (1984) Early glottic carcinoma (T1N0M0). Results of irradiation with or without endoscopic microsurgery. Acta Radiologica Stockholm, 23: 1519.Google ScholarPubMed
Daniilidis, J., Petropoulos, P., Koulouas, A., Symeonidis, B., Frantzis, C. (1978) Langzeitergebnisse der chirurgische Behandlung des Kehlkopfkarzinoms. Laryngologie, Rhinologie, Otoligie, 57: 10661072.Google Scholar
Glanz, H. (1976) Late recurrence of radiation induced cancer of the larynx. Clinical Otolaryngology, 1: 123126.CrossRefGoogle ScholarPubMed
Kleinsasser, O. (1985) Neues und Kontroverses inder Behandlung des Kehlkoptkrepses. Archiv für Ohren Nasen und Kehlkopfheilkunde Verhandlungsbericht, Supplement 1985/11: 1017.Google Scholar
Kleinsasser, O., Glanz, H., Kimmech, T. (1988) Endoskopische Chirurgie bei stimmlipenkazzinomen. HNO Berlin 36: 412416.Google Scholar
Lawson, W., Som, M. L. (1975) Second primary cancer after irradiation of laryngeal cancer. Annals of Otology, Rhinology and Laryngology, 84: 771774.CrossRefGoogle ScholarPubMed
Mandravadi, R. V. P., Haas, R. E., Liebner, E. J., Skolnik, E. M., Aplebaum, E. L. (1983) Postoperative radiotherapy for persistent tumor at the surgical margin in head and neck cancers. Laryngoscope, 93: 13371340.CrossRefGoogle Scholar
Meyer-Breiting, E., von Ilberg, Ch. (1981) Behandlungsergebnisse der Chirurgie früher stimmbandkarzinome. HNO Berlin, 29: 4146.Google Scholar
Million, R. R., Cassisi, N. (1984) Larynx. In Million, R. R, Cassissi, N. eds. Management of head and Neck cancer. A multidisciplinary Approach, pp. 315364. Lippincott Company, Philadelphia.Google Scholar
Notter, G., Sadberg, N., Turesson, I., Heikel, P. (1984) Zur strahlenbehandlung des Stimmbandkarzinoms. Bericht über 287 Patienten. HNO Berlin 32: 237244.Google Scholar
Ossoff, R., Sisson, G., Shapshay, S. (1985) Endoscopic management of selected early vocal cord carcinoma. Annals of Otology, Rhinology and Laryngology, 94: 560564.CrossRefGoogle ScholarPubMed
Pinel, J., Cachin, Y., Laccourrege, H., Piguet, J. J., Richard, J. M., Cannoni, M., Trotoux, J., Junien-Lacillaurou, C., Eschwege, F., Luboinski, B. (1980) Cancer du larynx, Librairie Arnette, Paris Societé Françhise d'Oto-Rhino-Laryngologie et de pathologie cervico-faciale.Google Scholar
Rudert, H. (1988) Die endoskopische Behandlung von stimmband Karzinommen mit dem Co2-Laser. Archiv Ohren Nasen und Kehlkopfheilkunde Verhandlungsbericht, Supplement 11: 172174.Google Scholar