Vocal cordectomy: Results and predictors of recurrence and survival

Authors

  • Joana Marques Serviço de Otorrinolaringologia, Centro Hospitalar Universitário São João, EPE, Porto, Portugal; Unidade de Otorrinolaringologia, Departamento de Cirurgia e Fisiologia da Faculdade de Medicina da Universidade do Porto, Porto, Portugal
  • Sónia Martins Serviço de Otorrinolaringologia, Centro Hospitalar Universitário São João, EPE, Porto, Portugal; Unidade de Otorrinolaringologia, Departamento de Cirurgia e Fisiologia da Faculdade de Medicina da Universidade do Porto, Porto, Portugal
  • Manuel Leal Serviço de Otorrinolaringologia, Centro Hospitalar Universitário São João, EPE, Porto, Portugal; Unidade de Otorrinolaringologia, Departamento de Cirurgia e Fisiologia da Faculdade de Medicina da Universidade do Porto, Porto, Portugal
  • Margarida Santos Serviço de Otorrinolaringologia, Centro Hospitalar Universitário São João, EPE, Porto, Portugal

DOI:

https://doi.org/10.34631/sporl.868

Keywords:

glottic cancer, Laser chordectomy, Recurrence, oncologic outcome

Abstract

Objectives: Evaluation of a population that underwent vocal cordectomy with Laser CO2. 

Study design: Retrospective cohort. 

Material and Methods: Analysis of the patients with early glottic squamous cell carcinoma who underwent vocal cordectomy during a 7 year period. 

Results: 48 patients were included. The recurrence rate was 27.1%. A second primary tumor was diagnosed in 20.8% of patients. Positive margins were the only significant prognostic factor for recurrence. The presence of a second primary tumor was the only factor that was significantly associated with survival. 

Conclusions: Vocal cordectomy with Laser CO2 is a minimally invasive surgery that is effective in treating early glottic carcinomas. Positive margins of the lesion proved to be a significant factor of recurrence, indicating the risk of persistence of the neoplasia. As they influence survival, there must be a high index of suspicion for the diagnosis of second primary tumors. 

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Published

2021-03-07

How to Cite

Marques, J., Martins, S., Leal, M., & Santos, M. (2021). Vocal cordectomy: Results and predictors of recurrence and survival. Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery, 59(1), 41–45. https://doi.org/10.34631/sporl.868

Issue

Vol. 59 No. 1 (2021): March

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Original Article

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