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Treatment outcomes of laryngectomy compared to non-surgical management of T3laryngeal carcinomas: A 10-year multicentre audit of 179 patients in the northeast of England

Lookup NU author(s): Daniel Lin, Professor Michael Goodfellow

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Abstract

Copyright © JLO (1984) Limited, 2021.Objective Wide-ranging outcomes have been reported for surgical and non-surgical management of T3 laryngeal carcinomas. This study compared the outcomes of T3 tumours treated with laryngectomy or (chemo)radiotherapy in the northeast of England. Methods The outcomes of T3 laryngeal carcinoma treatment at three centres (2007-2016) were retrospectively analysed using descriptive statistics and survival curves. Results Of 179 T3 laryngeal carcinomas, 68 were treated with laryngectomies, 57 with chemoradiotherapy and 32 with radiotherapy. There was no significant five-year survival difference between treatment with laryngectomy (34.1 per cent) and chemoradiotherapy (48.6 per cent) (p = 0.184). The five-year overall survival rate for radiotherapy (12.5 per cent) was significantly inferior compared to laryngectomy and chemoradiotherapy (p = 0.003 and p < 0.001, respectively). The recurrence rates were 22.1 per cent for laryngectomy, 17.5 per cent for chemoradiotherapy and 50 per cent for radiotherapy. There were significant differences in recurrence rates when laryngectomy (p = 0.005) and chemoradiotherapy (p = 0.001) were compared to radiotherapy. Conclusion Laryngectomy and chemoradiotherapy had significantly higher five-year overall survival and lower recurrence rates compared with radiotherapy alone. Laryngectomy should be considered in patients unsuitable for chemotherapy, as it may convey a significant survival advantage over radiotherapy alone.

Publication metadata

Author(s): Lin DJ, Goodfellow M, Ong J, Chin MY, Lazarova L, Cocks HC

Publication type: Article

Publication status: Published

Journal: Journal of Laryngology and Otology

Year: 2021

Volume: 134

Issue: 12

Pages: 1103 - 1107

Online publication date: 12/01/2021

Acceptance date: 02/04/2016

ISSN (print): 0022-2151

ISSN (electronic): 1748-5460

Publisher: Cambridge University Press

URL: https://doi.org/10.1017/S0022215120002704

DOI: 10.1017/S0022215120002704

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