[Suspicion of metastases in laryngeal carcinomas].
OBJECTIVE
To look for models predicting metastasis in laryngeal/hypopharyngeal carcinomas.


METHODS
Prospective study.


METHODS
Sixty patients bearing laryngeal squamous cell carcinoma who were treated with curative purposes were followed prospectively with at least 10-year follow-up.


METHODS
Clinical (Staging, site, age, alcohol and smoking intake, surgery on the primary tumor, neck surgery) and pathological (size, number of metastatic lymph nodes, T and N staging, degree of differentiation, Jakobsson's and Glanz's scoring of malignancy, both scores in biopsies and surgical specimens) parameters were recorded in each case.


METHODS
A multivariate analysis was performed to find out those parameters independently related to presence of metastases.


RESULTS
The prospective study rendered tumor burden and Glanz's scoring from biopsies to be independently related with the presence of metastases.


CONCLUSIONS
Malignancy grading systems must be included in laryngeal carcinoma patients' planning of neck treatment.
Esteban
F
F
Servicio de Otorrinolaringología, Hospitales Universitarios Virgen del Rocío de Sevilla.
González-Pérez
J M
JM
Benaixa
J P
JP
González-Moles
M A
MA
Ruiz-Avila
I
I
Delgado-Rodríguez
M
M
Solano
J
J
D002294:Carcinoma, Squamous Cell / Q000473:pathology* / Q000532:radiotherapy; D005500:Follow-Up Studies; D006801:Humans; D007822:Laryngeal Neoplasms / Q000473:pathology* / Q000532:radiotherapy; D009367:Neoplasm Staging / Q000379:methods; D011379:Prognosis; D011446:Prospective Studies