Matched-pair analysis of survival in the patients with T3 laryngeal squamous cell carcinoma treated with supracricoid partial laryngectomy or total laryngectomy

被引:10
作者
Xial, Xin [1 ,2 ]
Zhu, Ying-Ying [1 ,2 ]
Diao, Wen-Wen [1 ,2 ]
Zhu, Xiao-Li [1 ,2 ]
Shi, Xiao-Hua [2 ,3 ]
Li, Wu-Yi [1 ,2 ]
Gao, Zhi-Qiang [1 ,2 ]
Li, Guo-Jun [1 ,2 ]
Chen, Xing-Ming [1 ,2 ]
机构
[1] Peking Union Med Coll Hosp, Peking Union Med Coll, Dept Otolaryngol Head & Neck Surg, 1 Shuaifuyuan, Beijing 100730, Peoples R China
[2] Chinese Acad Med Sci, 1 Shuaifuyuan, Beijing 100730, Peoples R China
[3] Peking Union Med Coll Hosp, Peking Union Med Coll, Dept Pathol, Beijing, Peoples R China
关键词
survival analysis; matched-pair analysis; laryngeal neoplasms; laryngectomy; squamous cell carcinoma; CRICOHYOIDOPEXY; CANCER; CRICOHYOIDOEPIGLOTTOPEXY; PRESERVATION; OUTCOMES; T3-T4;
D O I
10.2147/OTT.S175358
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 ; 0836 ; 090102 ; 100705 ;
摘要
Background: The survival outcomes between supracricoid partial laryngectomy (SCPL) and total laryngectomy (TL) were compared in the groups of matched-pair patients with T3 laryngeal squamous cell carcinoma (LSCC). Methods: Patients with T3 LSCC were matched based on prognostic factors. The Kaplan-Meier curve and the Cox proportional hazards model were used for analysis on survival. Results: A total of 212 patients with T3 LSCC were included after matching (106 underwent SCPL and 106 underwent TL). Multivariable analysis showed no differences in overall survival (hazard risk [HR]=1.15; 95% CI: 0.79-1.67; P=0.47), disease-specific survival (HR=1.11; 95% CI: 0.69-1.80; P=0.66), and recurrence-free survival (HR=1.07; 95% CI: 0.68-1.68; P=0.77) between the SCPL group and TL group. Conclusion: SCPL provides reliable therapeutic outcomes and can be used to avoid a TL surgery in sonic patients with advanced primary laryngeal cancer.
引用
收藏
页码:7947 / 7953
页数:7
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