Total laryngectomy - Clinical outcomes and prognostic factors
Autor(a) principal: | |
---|---|
Data de Publicação: | 2015 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.34631/sporl.583 |
Resumo: | The choice between total laryngectomy (TL) and chemoradiotherapy in the treatment of advanced laryngeal and hypopharyngeal tumors remains controversial.Aiming to analyze clinical and functional outcomes of TL performed in our department, to identify prognostic factors and to verify the utility of computed tomography (CT) scan of the neck, we performed a retrospective study of TL performed between 2000 and 2004.From the 378 observed patients, most of them presented laryngeal tumors (72%) in advanced stage (90%). The CT scan of the neck allowed for correct staging in only 35% of the patients. The overall 5-year disease-specific survival rate was 59,5% and the prognostic factors identified were: laryngeal tumor, N0-N1 stage and previous tracheotomy.Given the high incidence of advanced tumors in our department and the limited value of neck CT scan, we recommend careful evaluation of such patients, in order to ensure adequate selection for chemoradiotherapy. |
id |
RCAP_fdb7228bbf54a26e492ad0e98ba3a27d |
---|---|
oai_identifier_str |
oai:journalsporl.com:article/2749 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Total laryngectomy - Clinical outcomes and prognostic factorsLaringectomia total - Resultados clínicos e factores prognósticoslaryngeal and hypo pharyngeal tumorsadvanced stageCT scan of the necksurvivalprognostic factorstumores da laringe e hipofaringeestádio avançadotomografia computadorizada cervicalsobrevivênciafactores prognósticoThe choice between total laryngectomy (TL) and chemoradiotherapy in the treatment of advanced laryngeal and hypopharyngeal tumors remains controversial.Aiming to analyze clinical and functional outcomes of TL performed in our department, to identify prognostic factors and to verify the utility of computed tomography (CT) scan of the neck, we performed a retrospective study of TL performed between 2000 and 2004.From the 378 observed patients, most of them presented laryngeal tumors (72%) in advanced stage (90%). The CT scan of the neck allowed for correct staging in only 35% of the patients. The overall 5-year disease-specific survival rate was 59,5% and the prognostic factors identified were: laryngeal tumor, N0-N1 stage and previous tracheotomy.Given the high incidence of advanced tumors in our department and the limited value of neck CT scan, we recommend careful evaluation of such patients, in order to ensure adequate selection for chemoradiotherapy.A escolha entre laringectomia total (LT) e quimiorrradioterrapia no tratamento dos estadios avançados dos tumores da laringe e hipofaringe mantem-se controversa.No intuito de analisar resultados clínicos e funcionais das LT efectuadas no nosso serviço, avaliar eventuais factores com influência na sobrevivência e verificar o valor da tomografia computadorizada (TC) do pescoço no estadiamento, procedeu-se a estudo retrospectivo das LT efectuadas entre 2000 e 2004.Dos 378 processos observados, a maioria apresentava tumores da laringe (72%), em estadio avançado (90%). A TC cervical permitiu um estadiamento correcto em 35% (mais frequentemente subestadiamento). A sobrevivência doençaespecífica aos 5 anos foi 59,5% e os factores com influência na mesma foram: origem laríngea, estadio N0-N1 e traqueotomia prévia.Atendendo à elevada incidência de tumores em estadio avançado na nossa consulta e ao valor limitado da TC cervical, advoga-se atenção cuidada do Otorrinolaringologista por forma a garantir a selecção adequada dos doentes para quimiorradioterapia.Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2015-12-08info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34631/sporl.583https://doi.org/10.34631/sporl.583Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 53 No. 2 (2015): Junho; 99-105Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 53 Núm. 2 (2015): Junho; 99-105Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 53 N.º 2 (2015): Junho; 99-1052184-6499reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://journalsporl.com/index.php/sporl/article/view/2749https://journalsporl.com/index.php/sporl/article/view/2749/752Pereira, SóniaOliveira, FilipaCosta, EuricoMontalvão, PedroMagalhães, Miguelinfo:eu-repo/semantics/openAccess2024-06-06T13:00:07Zoai:journalsporl.com:article/2749Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-06-06T13:00:07Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Total laryngectomy - Clinical outcomes and prognostic factors Laringectomia total - Resultados clínicos e factores prognósticos |
title |
Total laryngectomy - Clinical outcomes and prognostic factors |
spellingShingle |
Total laryngectomy - Clinical outcomes and prognostic factors Pereira, Sónia laryngeal and hypo pharyngeal tumors advanced stage CT scan of the neck survival prognostic factors tumores da laringe e hipofaringe estádio avançado tomografia computadorizada cervical sobrevivência factores prognóstico |
title_short |
Total laryngectomy - Clinical outcomes and prognostic factors |
title_full |
Total laryngectomy - Clinical outcomes and prognostic factors |
title_fullStr |
Total laryngectomy - Clinical outcomes and prognostic factors |
title_full_unstemmed |
Total laryngectomy - Clinical outcomes and prognostic factors |
title_sort |
Total laryngectomy - Clinical outcomes and prognostic factors |
author |
Pereira, Sónia |
author_facet |
Pereira, Sónia Oliveira, Filipa Costa, Eurico Montalvão, Pedro Magalhães, Miguel |
author_role |
author |
author2 |
Oliveira, Filipa Costa, Eurico Montalvão, Pedro Magalhães, Miguel |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Pereira, Sónia Oliveira, Filipa Costa, Eurico Montalvão, Pedro Magalhães, Miguel |
dc.subject.por.fl_str_mv |
laryngeal and hypo pharyngeal tumors advanced stage CT scan of the neck survival prognostic factors tumores da laringe e hipofaringe estádio avançado tomografia computadorizada cervical sobrevivência factores prognóstico |
topic |
laryngeal and hypo pharyngeal tumors advanced stage CT scan of the neck survival prognostic factors tumores da laringe e hipofaringe estádio avançado tomografia computadorizada cervical sobrevivência factores prognóstico |
description |
The choice between total laryngectomy (TL) and chemoradiotherapy in the treatment of advanced laryngeal and hypopharyngeal tumors remains controversial.Aiming to analyze clinical and functional outcomes of TL performed in our department, to identify prognostic factors and to verify the utility of computed tomography (CT) scan of the neck, we performed a retrospective study of TL performed between 2000 and 2004.From the 378 observed patients, most of them presented laryngeal tumors (72%) in advanced stage (90%). The CT scan of the neck allowed for correct staging in only 35% of the patients. The overall 5-year disease-specific survival rate was 59,5% and the prognostic factors identified were: laryngeal tumor, N0-N1 stage and previous tracheotomy.Given the high incidence of advanced tumors in our department and the limited value of neck CT scan, we recommend careful evaluation of such patients, in order to ensure adequate selection for chemoradiotherapy. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-12-08 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.34631/sporl.583 https://doi.org/10.34631/sporl.583 |
url |
https://doi.org/10.34631/sporl.583 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://journalsporl.com/index.php/sporl/article/view/2749 https://journalsporl.com/index.php/sporl/article/view/2749/752 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
dc.source.none.fl_str_mv |
Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 53 No. 2 (2015): Junho; 99-105 Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 53 Núm. 2 (2015): Junho; 99-105 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 53 N.º 2 (2015): Junho; 99-105 2184-6499 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
mluisa.alvim@gmail.com |
_version_ |
1817546031202566144 |