Conservation laryngeal surgery for selected pyriform sinus cancer
(2004) European Journal of Surgical Oncology — Vol. 30, n° 10, p. 1123-1130 (2004)
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- Abstract
- AIMS: This study reports the treatment of a cohort of patients with pyriform sinus squamous cell carcinoma, using conservative surgery and radiotherapy. METHODS: Thirty-four patients with pyriform sinus SCC were treated between 1986 and 2001, using partial laryngopharyngectomy with or without complementary radiotherapy. Seventy-six percent had stage III-IV lesions. Quality of life questionnaire and clinical examination were used for evaluation of laryngeal function. RESULTS: Conservation surgery was undertaken. All patients underwent neck dissection. Two thirds of the patients received post-operative radiotherapy. Reconstruction was achieved by local muscular flap in 13 cases, radial forearm free flap in 18 and pectoralis major flap in three. Five-year overall and disease-specific survival rates were 50 and 65%, respectively. Successful laryngeal function preservation with local control was achieved in 80% of the patients. CONCLUSION: Partial laryngopharyngectomy is a suitable treatment for early and selected advanced stage pyriform sinus carcinoma with a good functional and oncologic outcome.
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Citations
Plouin-Gaudon, I., Lengelé, B., Desuter, G., Rombaux, P., Ledeghen, S., Grégoire, V., & Hamoir, M. (2004). Conservation laryngeal surgery for selected pyriform sinus cancer. European Journal of Surgical Oncology, 30(10), 1123-1130. https://doi.org/10.1016/j.ejso.2004.08.011 (Original work published 2004)