[Analysis of patients under 45 years of age with cancer of the larynx].
BACKGROUND
In last years we observe more frequently squamous cell carcinoma in patients below 45 years of age. Especially we examined patients with cancer of the larynx.


METHODS
Estimation of surgical treatment of patients with cancer of the larynx under 45 years age after prior analysis of the following factors: localization of laryngeal carcinoma, local and regional advancement, the incidence of "occult metastases", the presence of metastases in the pre-laryngeal node, the regions of the neck affected by metastases. An analysis of a group of 140 patients who underwent surgery for laryngeal carcinoma in the period 1950-1998 was carried out. In all of the cases partial or total laryngectomy with unilateral or bilateral neck dissection was performed.


RESULTS
In patients under 45 years of age, metastases to the lymph nodes were more frequently observed. The incidence of "occult metastases" and metastases to the pre-laryngeal node were more frequently.


CONCLUSIONS
The cancer of the larynx in "young adults" is more aggressive and worse prognosis than in older patients population.
Katedra i Klinika Otolaryngologii CMUJ w Krakowie.
Jerzy
J
Tomik
Jacek
J
Składzień
Maciej
M
Modrzejewski
Marcin
M
Konior
D000328:Adult; D000367:Age Factors; D002294:Carcinoma, Squamous Cell / Q000453:epidemiology* / Q000556:secondary / Q000601:surgery*; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000453:epidemiology* / Q000473:pathology / Q000601:surgery*; D007825:Laryngectomy; D008198:Lymph Nodes / Q000473:pathology / Q000601:surgery; D008207:Lymphatic Metastasis; D008297:Male; D011044:Poland / Q000453:epidemiology; D012189:Retrospective Studies; D012307:Risk Factors