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A comparison of radiotherapy and surgery as primary treatment in the management of T3 N0 M0 glottic tumours

Published online by Cambridge University Press:  29 June 2007

D. Simpson ,
A. G. Robertson  and
D. Lamont
D. Simpson
Affiliation:
Beatson Oncology Centre, Ruchill Hospital, Glasgow
A. G. Robertson*
Affiliation:
Beatson Oncology Centre, Ruchill Hospital, Glasgow
D. Lamont
Affiliation:
West of Scotland Cancer Surveillance Unit, Ruchill Hospital, Glasgow
*
A. G. Robertson, Ph.D., F.R.C.R., F.R.C.P.(Glas.), Consultant Oncologist, Beatson Oncology Centre, Western Infirmary, Glasgow G11 6NT.
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Abstract

Seventy-four patients with Stage T3 NO MO squamous carcinoma of the glottis were treated initially by either surgery or radiotherapy between 1980 and 1985. The treatment adopted was determined by consultant preference. The long-term survival in both groups was approximately the same. Of 38 patients treated initially by radiotherapy, 25 had local recurrence. Fifteen of these underwent salvage surgery and 10 died of disease. Thirteen patients (33 per cent) retained their larynx. One of the major advantages of treating patients with stage T3 NO MO carcinoma of larynx by radiotherapy initially is that approximately one-third will retain their larynx. Local recurrences can usually be treated readily by salvage surgery.

Keywords

Laryngeal neoplasmsSurgeryRadiotherapy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 107 , Issue 10 , October 1993 , pp. 912 - 915
Copyright
Copyright © JLO (1984) Limited 1993

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