[Recurrence after removal of a vocal cord for laryngeal fissure].
The evolution of 39 patients undergoing cordectomy by laryngofissure between 1980 and 1995 was analyzed. All patients were male. There were 33 (84.6%) T1a and 6 T1b (15.4%). Cause specific survival at 3, 5 and 10 years was 92.3, 89.7 and 89.7%, with an overall survival of 89.7, 84.3 and 65.8% at 3, 5 and 10 years respectively. Positive margins were found in two patients. Local recurrences were present in 4 patients (10.2%), loco-regional in 1 patient (2.5%), and paratracheal in 1 patient (2.5%). Salvage therapy included total laryngectomy in four patients (10.2%) and partial surgery in one patient. Correct evaluation of tumor extension and adequate free margin analysis are the essentials to avoid local recurrence after cordectomy, a well establish option for treatment of early glottic carcinoma.
Herranz
J
J
Servicio de ORL, Hospital Juan Canalejo, A Coruña, España. jherranzgo@nexo.es
Vázquez Barro
C
C
Suárez
T
T
Fernández Fernández
M
M
Martínez Vidal
J
J
D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000401:mortality / Q000601:surgery*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000401:mortality / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000453:epidemiology; D015996:Survival Rate; D014827:Vocal Cords / Q000601:surgery*