title: [Five-year-cure rate of laryngeal cancer in the Kiel clinic. Report of 216 cases from 1960 to 1967 (then director: Prof. Dr. E. Müller) with special reference to indications for surgical or orthovolt x-ray therapy].
abstract: Report about the five-years-cure of all cases of carcinoma of the larynx, the Kiel-University-ORL-Department had to engage in with diagnostical and therapeutical treatment within a period of 7 years. Out of the total of 216 patients the absolute survival rate was 144 (= 66,7%) after five years. Cure rate was the best with carcinoma of the true vocal cord (72,8%), less satisfactory with carcinoma of the supraglottic region (61,1%), only 5/14 with carcinoma of the marginal region, and only 2/8 with advanced and widespread tumours of undefinable origin. After comparing the distribution of the total of our patients with those of other authors, our system of diagnosis, staging, and classification is described in detail being the basis for a skilful choice of primary surgical therapy on the one hand or primary irradiation on the other hand (in our cases orthovolt-X-ray). Both the primary treatment and treatment of recurrence-cases are described in detail, differing from descriptions and claims of other authors for "modern" therapy in many items. Nevertheless we have comparatively very good results, they demand a critical standpoint towards new therapeutical methods. In our opinion close collaboration between laryngologists and radiotherapists concerning classification of tumours, staging and choice of therapy, treatment and post-clinical observation is the fundamental condition for obtaining good and better results in treatment of laryngeal carcinoma.
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D005860:Germany, West; D006801:Humans; D007822:Laryngeal Neoplasms / Q000401:mortality / Q000532:radiotherapy / Q000628:therapy*; D007825:Laryngectomy; D008297:Male
vernacular_title: Fünfjahresheilungen beim Larynxkarzinom in der Kieler Klinik. Bericht über 216 Fälle aus den Jahren 1960 bis 1967 (damaliger Direktor: Prof. Dr. E. Müller) mit besonderer Berücksichtigung einer differenzierten Indikationsstellung zur chirurgischen oder zur Röntgen-Orthovolt-Therapie.