RADIOTHERAPY EFFICACY lN CERVICAL GANGLIONAR METASTASIS OF LARYNX AND HIPOPHARYNX TUMORS

Authors

  • Carla Branco Interno do Complementar de ORL do Hospital de Pulido Valente
  • João Subtil Interno do Complementar de ORL do Hospital de Pulido Valente
  • António Ristori Interno do Complementar de Radioterapia do Instituto Português de Oncologia Francisco Gentil
  • Hugo Estiveiro Assistente hospitalar de ORl do Instituto Português de Oncologia Francisco Gentil
  • Rui Fino Assistente hospitalar de ORl do Instituto Português de Oncologia Francisco Gentil
  • Luis Oliveira Assistente hospitalar de ORl do Instituto Português de Oncologia Francisco Gentil
  • Lígia Ferreira Assistente hospitalar de ORl do Instituto Português de Oncologia Francisco Gentil
  • Pedro Montalvão Assistente hospitalar de ORl do Instituto Português de Oncologia Francisco Gentil
  • Miguel Magalhães Assistente hospitalar de ORl do Instituto Português de Oncologia Francisco Gentil
  • Judite Ramos Assistente hospitalar graduado de Radioterapia do Instituto Português de Oncologia Francisco Gentil
  • João Olias Director de Serviço de ORL do Instituto Português de O ncologia Francisco Gentil

DOI:

https://doi.org/10.34631/sporl.428

Keywords:

Radiotherapy, cervical ganglionar metastasis

Abstract

Adjuvant radiotheropy plays nowadays an important role in the treatment of patients with laryngeal and hypopharyngeal squamous cell carcinoma. When used alone, radiotherapy has similar results as surgery in local control of tumors in early stage (I and 11). The effectiveness of radiotherapy in the treatment of cervical ganglionar metastasis remains controversial and there is a conviction that these metastasís are more radioresistont thon their primories.

Objective: To evaluate efficacy of Radiotherapy alone in treatment of cervical ganglionar metastasis of patients with laryngeal and hypopharyngeal squamous cell carcinoma.

Material and Method: Retrospective study with a population of 104 patients with squamous carcinoma of larynx and hypopharynx who also presented with nodal disease and underwent radiotherapy between 1990 and 1995, in IPOFG·lx.

Results: The nodal disease control rate was 46, 1 %. The regional outcome was influenced by clinical features such as nodal size (p<0,01) and fixation (p=0,007), but not by nodal multiplicity, bilaterality or primary tumor characteristics.

Conclusion: Results suggest that a planed neck dissection alter radiotherapy could be beneficial if nodes were larger then 3 cm or fixed are present.

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How to Cite

Branco, C., Subtil, J., Ristori, A., Estiveiro, H., Fino, R., Oliveira, L., Ferreira, L., Montalvão, P., Magalhães, M., Ramos, J., & Olias, J. (2006). RADIOTHERAPY EFFICACY lN CERVICAL GANGLIONAR METASTASIS OF LARYNX AND HIPOPHARYNX TUMORS. Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery, 44(1), 47–53. https://doi.org/10.34631/sporl.428

Issue

Vol. 44 No. 1 (2006): Março

Section

Original Article