Transoral laser microsurgery for glottic cancer in the elderly: Efficacy and safety.
complications
elderly
laryngeal cancer
transoral laser microsurgery
Journal
Head & neck
ISSN: 1097-0347
Titre abrégé: Head Neck
Pays: United States
ID NLM: 8902541
Informations de publication
Date de publication:
06 2019
06 2019
Historique:
received:
25
06
2018
revised:
25
09
2018
accepted:
11
12
2018
pubmed:
13
1
2019
medline:
11
11
2020
entrez:
13
1
2019
Statut:
ppublish
Résumé
Data about the results of transoral laser microsurgery (TLM) in elderly patients are limited. A retrospective study of 72 consecutive cases of glottic carcinoma (63 pT1 and 9 pT2 cases) in elderly patients (≥70 years old, mean 76 years) treated with TLM was made. A systematic review of the literature was performed. Six patients (8%) had postoperative complications, but no treatment-related deaths were observed. Local recurrences occurred in 12 patients (16.5%): nine with pT1 (14%) and three with pT2 (33%) tumors. Five-year disease-specific survival (DSS), overall survival, and laryngectomy-free survival were 95%, 68%, and 88%, respectively. The literature review indicated that TLM is safe and effective treatment for these patients, with few complications and good local control (>85%) and DSS (>90%) rates. Our results and the information from the literature show that TLM for glottic cancer in elderly patients can lead to satisfactory treatment results.
Sections du résumé
BACKGROUND
Data about the results of transoral laser microsurgery (TLM) in elderly patients are limited.
METHODS
A retrospective study of 72 consecutive cases of glottic carcinoma (63 pT1 and 9 pT2 cases) in elderly patients (≥70 years old, mean 76 years) treated with TLM was made. A systematic review of the literature was performed.
RESULTS
Six patients (8%) had postoperative complications, but no treatment-related deaths were observed. Local recurrences occurred in 12 patients (16.5%): nine with pT1 (14%) and three with pT2 (33%) tumors. Five-year disease-specific survival (DSS), overall survival, and laryngectomy-free survival were 95%, 68%, and 88%, respectively. The literature review indicated that TLM is safe and effective treatment for these patients, with few complications and good local control (>85%) and DSS (>90%) rates.
CONCLUSIONS
Our results and the information from the literature show that TLM for glottic cancer in elderly patients can lead to satisfactory treatment results.
Types de publication
Journal Article
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1816-1823Informations de copyright
© 2019 Wiley Periodicals, Inc.