Endoscopic laser surgery of early glottic cancer: involvement of the anterior commissure.

Abstract

BACKGROUND:

Early glottic cancer can be cured with transoral laser resection, but in cases with anterior commissure involvement, there is still controversy concerning the best treatment modality.

METHODS:

The impact of anterior commissure involvement on local control was analyzed in a retrospective review of 444 patients with early glottic cancer (pT1a-pT2a) treated between 1986 and 2004 with transoral laser microsurgical resection.

RESULTS:

The anterior commissure was involved in 153 cases; the 5-year local control rate with and without anterior commissure involvement was 73% versus 89% for T1a and 68% versus 86% for T1b tumors. For T2a lesions, the 5-year local control rate was 76%, irrespective of anterior commissure involvement.

CONCLUSION:

In early glottic cancer treated by transoral laser microsurgery, a decrease in local control is evident in case of anterior commissure involvement for T1a and T1b but not for T2a tumors.

• Authors: Ralph M W Rödel, Wolfgang Steiner, Roland M Müller, Martina Kron, Christoph Matthias
• Journal: Head & neck (Head Neck) Vol. 31 Issue 5 Pg. 583-92 (May 2009) ISSN: 1097-0347 [Electronic] United States
• PMID: 19132720 (Publication Type: Journal Article)

Topics

• Adult
• Aged
• Aged, 80 and over
• Carcinoma (mortality, pathology, surgery)
• Female
• Glottis (surgery)
• Humans
• Laryngeal Neoplasms (mortality, pathology, surgery)
• Laryngoscopy
• Laser Therapy
• Lasers, Gas
• Male
• Microsurgery
• Middle Aged
• Neck Dissection
• Neoplasm Recurrence, Local
• Neoplasm, Residual (surgery)
• Postoperative Complications
• Retrospective Studies
• Salvage Therapy