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T1 glottic laryngeal cancer: the role of routine follow-up visits in detecting local recurrence.

Authors :
Pakkanen P
Ilmarinen T
Halme E
Irjala H
Koivunen P
Pukkila M
Ventelä S
Hagström J
Aaltonen LM
Source :
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery [Eur Arch Otorhinolaryngol] 2021 Dec; Vol. 278 (12), pp. 4863-4869. Date of Electronic Publication: 2021 Aug 06.
Publication Year :
2021

Abstract

Purpose: We assessed the treatment outcome and the benefits of routine follow-up visits in T1 glottic laryngeal squamous cell carcinoma (LSCC).<br />Methods: Medical records of patients diagnosed with stage T1 glottic LSCC (N = 303) in five Finnish university hospitals between 2003 and 2015 were reviewed. Moreover, data from the Finnish Cancer Registry and the Population Register Center were collected.<br />Results: Of all 38 recurrences, 26 (68%) were detected during a routine follow-up visit, and over half (21 of 38, 55%) presented without new symptoms. Primary treatment method (surgery vs. radiotherapy) was not connected with 5-year disease-specific survival (DSS) or laryngeal preservation rate.<br />Conclusion: The majority of recurrences were detected on a routine follow-up visit, and local recurrences often presented without new symptoms. Routine post-treatment follow-up of T1 glottic LSCC seems beneficial.<br />Trial Registration: Trial registration number and date of registration HUS/356/2017 11.12.2017.<br /> (© 2021. The Author(s).)

Details

Language :
English
ISSN :
1434-4726
Volume :
278
Issue :
12
Database :
MEDLINE
Journal :
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
Publication Type :
Academic Journal
Accession number :
34357460
Full Text :
https://doi.org/10.1007/s00405-021-06983-3