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Prognostic factors on initial glottic cancer

Introduction: The survival of initial T1 and T2 glottic cancer after partial surgery or radiotherapy is based on two paradigms: cure and organ preservation. Study design: Retrospective clinical. Material and method: After 72 files revision, 60 (83,3%) men and 12 (16,67%) women, 49 (68,10%) smokers and 32 (49,94%) alcohol consummers, being 30 staged as T1 (41,66%) and 42 as T2 (59,34%), 26 (36,11%) submitted for partial resection (cordectomy, fronto-lateral or hemilarin-gectomy) and 46 (63,89%) for radiotherapy (medium dosis of 6,3Gy). Results: After a five years followup, the free survival rate for the whole group were 71% (65%) for radiotherapy and 79% for partial resection), with no statistical significance (p=0,4071). For the global survival, partial surgery 91% (12 months), 83% (24 months) and 44% (60 months) for irradiation, 84% (12 months), 68% (24 months) and 17% (60 months), no statistically significant (p=0,0767). Patients with recurrence, underwent total salvage laryngectomy, with 100% survival rate (12 months) and 44% (60 months), similar with results performed after primary resection.

glottic cancer; prognosis; survival


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