T1 glottic laryngeal cancer : the role of routine follow-up visits in detecting local recurrence
Pakkanen, Pihla; Ilmarinen, Taru; Halme, Elina; Irjala, Heikki; Koivunen, Petri; Pukkila, Matti; Ventelä, Sami; Hagström, Jaana; Aaltonen, Leena-Maija (2021-08-06)
Pakkanen, P., Ilmarinen, T., Halme, E. et al. T1 glottic laryngeal cancer: the role of routine follow-up visits in detecting local recurrence. Eur Arch Otorhinolaryngol 278, 4863–4869 (2021). https://doi.org/10.1007/s00405-021-06983-3
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https://urn.fi/URN:NBN:fi-fe2021112557088
Tiivistelmä
Abstract
Purpose: We assessed the treatment outcome and the benefits of routine follow-up visits in T1 glottic laryngeal squamous cell carcinoma (LSCC).
Methods: Medical records of patients diagnosed with stage T1 glottic LSCC (N = 303) in five Finnish university hospitals between 2003 and 2015 were reviewed. Moreover, data from the Finnish Cancer Registry and the Population Register Center were collected.
Results: Of all 38 recurrences, 26 (68%) were detected during a routine follow-up visit, and over half (21 of 38, 55%) presented without new symptoms. Primary treatment method (surgery vs. radiotherapy) was not connected with 5-year disease-specific survival (DSS) or laryngeal preservation rate.
Conclusion: The majority of recurrences were detected on a routine follow-up visit, and local recurrences often presented without new symptoms. Routine post-treatment follow-up of T1 glottic LSCC seems beneficial.
Trial registration: Trial registration number and date of registration HUS/356/2017 11.12.2017.
Kokoelmat
- Avoin saatavuus [31995]