[Laryngeal function-sparing surgery for pyriform sinus cancer].
OBJECTIVE
To evaluate the oncologic effect of laryngeal function-sparing surgery for the patients with pyriform sinus carcinoma.


METHODS
A retrospective analysis was performed. Forty-four patients with pyriform sinus cancer who underwent operations were included. There were 10 patients in T1, 14 in T2, 18 in T3 and 2 in T4 categories. 42 patients received preoperative radiation and 2 cases, post-operative radiation. Surgery for the local lesions: 36 patients underwent pyriform sinusectomy and 8, partial laryngectomy and pyriform sinusectomy.


RESULTS
Five year survival rate is 50% for the whole series, 80% for stage I, 71.4% for stage II, 52.9% for stage III, 26.7% for stage IV and 45% for all T3 + T4 patients. Local control rate is 81.8% for all patients and 75% for T3, T4 patients.


CONCLUSIONS
For selected pyriform sinus cancer patient a conservative laryngeal surgery is warranted with the combination of preoperative radiative therapy.
Wang
X
X
Department of Head and Neck Surgery, Cancer Hospital, Chinese Academy Of Medical Sciences, Peking Union Medical, College 100021, China. doctorwangxiaolei@263.net
Tu
G
G
Tang
P
P
D000328:Adult; D000368:Aged; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000401:mortality / Q000532:radiotherapy / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods; D007830:Larynx / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D010611:Pharyngectomy / Q000379:methods; D012189:Retrospective Studies; D015996:Survival Rate