Clinical versus pathological staging in laryngectomized patients

Cristina Aguiar; Mónica Teixeira; Paulo Pina; Edite Coimbra Ferreira; Leandro Ribeiro; Pedro Oliveira

doi:10.34631/sporl.2037

Authors

Cristina Aguiar Serviço de Otorrinolaringologia do Centro Hospitalar de Vila Nova de Gaia/Espinho, Portugal https://orcid.org/0000-0001-5049-9565
Mónica Teixeira Serviço de Otorrinolaringologia do Centro Hospitalar de Vila Nova de Gaia/Espinho, Portugal https://orcid.org/0000-0002-9658-5300
Paulo Pina Serviço de Otorrinolaringologia do Centro Hospitalar de Vila Nova de Gaia/Espinho, Portugal https://orcid.org/0000-0002-8117-5528
Edite Coimbra Ferreira Serviço de Otorrinolaringologia do Centro Hospitalar de Vila Nova de Gaia/Espinho, Portugal https://orcid.org/0000-0002-4817-4582
Leandro Ribeiro Serviço de Otorrinolaringologia do Centro Hospitalar de Vila Nova de Gaia/Espinho, Portugal https://orcid.org/0000-0001-5432-1190
Pedro Oliveira Serviço de Otorrinolaringologia do Centro Hospitalar de Vila Nova de Gaia/Espinho, Portugal https://orcid.org/0000-0003-4040-6585

DOI:

https://doi.org/10.34631/sporl.2037

Keywords:

Laryngeal cancer, total laryngectomy, clinical stage, pathological stage

Abstract

Aim: To assess the accuracy of clinical staging in laryngeal and hypopharyngeal cancer, as well as its impact on the type of treatment and associated factors

Study Design: Retrospective.

Material and Methods: Review of patients submitted to total laryngectomy, between 2013 and 2021.

Results: There were 54 patients, almost all males and with a mean age of 61 years-old. There was a discrepancy between clinical and pathological of overall stage in 17 cases. There was greater accuracy of diagnosis of pre-epiglottic space, anterior commissure, cricoid cartilage, contralateral and extra-laringeal invasion, as opposed to invasion of paraglottic and thyroid cartilage.

Conclusions: The correct characterization of this type of tumor requires greater accuracy in the diagnostic evaluation of the paraglottic space and in the invasion of the thyroid cartilage.

References

Contrera KJ, Hair BB, Prendes B, Reddy CA, Zimmer DI, Burkey BB. et al. Clinical versus pathologic laryngeal cancer staging and the impact of stage change on outcomes. Laryngoscope 2021 Mar;131(3):559-565. doi: 10.1002/lary.28924.

Jaipuria B, Dosemane D, Kamath PM, Sreedharan SS, Shenoy VS. Staging of laryngeal and hypopharyngeal cancer: computed tomography versus histopathology. Iran J Otorhinolaryngol. 2018 Jul;30(99):189-194.

Locatello LG, Pietragalla M, Taverna C, Bonasera L, Massi D, Mannelli G. A critical reappraisal of primary and recurrent advanced laryngeal cancer staging. Ann Otol Rhinol Laryngol. 2019 Jan;128(1):36-43. doi: 10.1177/0003489418806915.

Eskander A, Blakaj DM, Dziegielewski PT. Decision making in advanced larynx cancer: an evidenced based review. Oral Oncol. 2018 Nov;86:195-9. doi: 10.1016/j.oraloncology.2018.09.019.

Celakovsky P, Kalfert D, Smatanova K, Kordac P, Laco J, Chrobok V. Discordance between clinical and pathological TNM classification: influence on results of treatment and prognosis in patients with laryngeal cancer. Neoplasma. 2017;64(2):305-310. doi: 10.4149/neo_2017_219.

Calvas OIJ, Ramos DM, Matos LL, Kulcsar MAV, Dedivitis RA, Brandão LG. et al. Oncological results of surgical treatment versus organ-function preservation in larynx and hypopharynx cancer. Rev Assoc Med Bras (1992). 2017 Dec;63(12):1082-9. doi: 10.1590/1806-9282.63.12.1082.

Koch WM, Ridge JA, Forastiere A, Manola J. Comparison of clinical and pathological staging in head and neck squamous cell carcinoma: results from intergroup study ECOG 4393/RTOG 9614. Arch Otolaryngol Head Neck Surg. 2009 Sep;135(9):851-8. doi: 10.1001/archoto.2009.123.

Bozkurt G, Unsal O, Celebi I, Ayhan B, Guliyev U, Akova P. et al. Does CT help in predicting preepiglottic space invasion in laryngeal carcinoma? Auris Nasus Larynx. 2018 Jun;45(3):546-552. doi: 10.1016/j.anl.2017.07.002

Reidenbach MM. The paraglottic space and transglottic cancer: Anatomical considerations. Clin Anat. 1996;9(4):244-51. doi: 10.1002/(SICI)1098-2353(1996)9:4<244::AID-CA5>3.0.CO;2-E.

Ravanelli M, Paderno A, Del Bon F, Montalto N, Pessina C, Battocchio S, et al. Prediction of posterior paraglottic space and cricoarytenoid unit involvement in endoscopically T3 glottic cancer with arytenoid fixation by magnetic resonance with surface coils. Cancers (Basel). 2019 Jan 10;11(1):67. doi: 10.3390/cancers11010067.

Banko B, Djukic V, Milovanovic J, Kovac J, Novakovic Z, Maksimovic R. MRI in evaluation of neoplastic invasion into preepiglottic and paraglottic space. Auris Nasus Larynx. 2014 Oct;41(5):471-4. doi: 10.1016/j.anl.2014.02.008A.

Forastiere AA, Ismaila N, Lewin JS, Nathan CA, Adelstein DJ, Eisbruch A. et al. Use of larynx-preservation strategies in the treatment of laryngeal cancer: American society of clinical oncology clinical practice guideline update. J Clin Oncol. 2018 Apr 10;36(11):1143-1169. doi: 10.1200/JCO.2017.75.7385.

Sherman EJ, Fisher SG, Kraus DH, Zelefsky MJ, Seshan VE, Singh B. et al. TALK score: development and validation of a prognostic model for predicting larynx preservation outcome. Laryngoscope. 2012 May;122(5):1043-50. doi: 10.1002/lary.23220.

Clinical versus pathological staging in laryngectomized patients

Authors

DOI:

Keywords:

Abstract

References

Downloads

Published

How to Cite

Issue

Section

License

sociedade

Language

index