title: Laryngeal cancer management in a small, rural, multidisciplinary team setting: 15-year review.
abstract: BACKGROUND
  The Cumberland Infirmary, Carlisle, serves a largely remote, rural population of 330 000. The aim of this study was to report the treatment and survival figures for patients treated for laryngeal cancer at this centre.
  
  
  METHODS
  The study included 209 consecutive patients with squamous cell carcinoma of the larynx diagnosed between 1996 and 2010 at the Cumberland Infirmary.
  
  
  RESULTS
  Disease-specific survival was 100 per cent for stage one, 76 per cent for stage two, 87 per cent for stage three and 46 per cent for stage four. In total, 76 patients (36 per cent) had a laryngectomy, either as primary treatment or as a salvage procedure.
  
  
  CONCLUSIONS
  Our tumour-specific survival rate was very high, and this success may be due in part to high rates of surgical intervention. Survival data compared favourably with other centres, despite less radical radiotherapy regimes. Laryngeal cancer can be managed effectively in a small, relatively remote, multidisciplinary team setting.
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, Cumberland Infirmary, Carlisle, UK.
authors.forename: D W
authors.initials: DW
authors.lastname: Hamilton
authors.affiliation: Institute of Health and Society, Newcastle University, UK.
authors.forename: P J
authors.initials: PJ
authors.lastname: McMeekin
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, Cumberland Infirmary, Carlisle, UK.
authors.forename: P
authors.initials: P
authors.lastname: Dyson
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, Cumberland Infirmary, Carlisle, UK.
authors.forename: A K
authors.initials: AK
authors.lastname: Robson
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis* / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D018572:Disease-Free Survival; D005260:Female; D006801:Humans; D053208:Kaplan-Meier Estimate; D007822:Laryngeal Neoplasms / Q000175:diagnosis* / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D010348:Patient Care Team; D011446:Prospective Studies; D012424:Rural Population / Q000706:statistics & numerical data; D016879:Salvage Therapy / Q000379:methods; D016896:Treatment Outcome; D006113:United Kingdom