[Spread channels of anterior commissure cancer: clinico-pathological study and surgical implications].
The aim of the present study is to describe the spread channels of the anterior commisure cancer, its clinical significance and its surgical implications.


METHODS
A prospective study was performed at the ENT Department of the Complutense University in about 31 patients with anterior commisure carcinoma wo underwent surgery between 1994/97. Specimens were processes with Whole-Organ Serial Sections.


RESULTS
Patients were differenciated into two groups: 1) Patients with glottic tumors, with a good cord mobility and no invasive tumor in commisure region (18 patients); In these patients, conservative surgery was possible; 2) Another group (13 patients) with aggressive lesions (80% with cartilage involvement), vocal cord fixation and transglottic lesions. In these group, conservative surgery was contraindicated.


CONCLUSIONS
This report emphasizes the importance of laryngoscopy in surgical technique of anterior commisure cancer.
Departamento de Cirugía II-ORL, Hospital Clínico San Carlos de Madrid, Universidad Complutense de Madrid UMC.
C
C
Martín Villares
J
J
Poch Broto
L
L
Ortega Medina
M J
MJ
González Gimeno
M C
MC
Iglesias Moreno
F
F
Cogolludo
D006801:Humans; D007822:Laryngeal Neoplasms / Q000473:pathology* / Q000601:surgery*; D009361:Neoplasm Invasiveness; D011446:Prospective Studies