Cordectomias vocais: Resultados e fatores preditores de recidiva e sobrevida
DOI:
https://doi.org/10.34631/sporl.868Palavras-chave:
carcinoma glótico, cordectomia Laser, recidiva, resultado oncológicoResumo
Objetivos: Avaliação de uma população submetida a cordectomia vocal com Laser CO2.
Desenho de estudo: Coorte retrospetivo.
Material e Métodos: Análise dos doentes com carcinoma epidermóide glótico pouco avançado, submetidos a cordectomia vocal durante 7 anos.
Resultados: Foram incluídos 48 doentes. A taxa de recidiva foi de 27.1%. Em 20.8% dos doentes foi diagnosticado um segundo tumor primário. As margens positivas foram o único fator prognóstico de recidiva estatisticamente significativo. A presença de um segundo tumor primário foi a única variável que se relacionou significativamente com a sobrevida.
Conclusões: A cordectomia vocal com Laser CO2 é uma cirurgia minimamente invasiva eficaz no tratamento de carcinomas glóticos pouco avançados. As margens positivas da lesão mostraram ser um fator estatisticamente significativo de recidiva, indicando o risco de persistência da neoplasia. Por influenciarem a sobrevida, deve existir um elevado índice de suspeição no diagnóstico de segundos tumores primários.
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