[Survival analysis of 1115 patients with laryngeal carcinoma].
OBJECTIVE
To study the long-term result of patients with laryngeal carcinoma treated by surgery and the prognostic factors.


METHODS
The survival status of 1115 patients with laryngeal carcinoma which were treated in this department between 1983 and 1996 were retrospectively investigated.


RESULTS
Overall 5-year survival rate was 77%. Among them, 5-year survival rate for patients of stage I was 94%, stage II 89%, stage III 82%, stage IV 66%. Patients with glottic cancer had the best prognosis, followed by supraglottic, subglottic and transglottic cancer. Five years survival rate for patients with partial laryngectomy was 85%, whereas, for total laryngectomy was 68%. The causes of failure were local recurrence and metastasis(70%). 14% of dead was not clear.


CONCLUSIONS
Early diagnosis was the key for both larynx preservation and survival rates. Causes of dead were laryngeal recurrence and metastasis.
Ji
Wen-yue
WY
Department of Otorhinolarynology, First Hospital, China Medical University, Shenyang 110001, China. jiwy@vip.sina.com
Du
Qiang
Q
Guan
Chao
C
Wang
Dian-ge
DG
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002423:Cause of Death; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000453:epidemiology* / Q000401:mortality; D007825:Laryngectomy; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D012189:Retrospective Studies; D015996:Survival Rate; D016896:Treatment Outcome