PMID- 30712430 OWN - NLM STAT- MEDLINE DCOM- 20190624 LR - 20190624 IS - 1651-2251 (Electronic) IS - 0001-6489 (Linking) VI - 139 IP - 1 DP - 2019 Jan TI - Presentation of second primary cancers in young laryngeal carcinoma patients. PG - 85-89 LID - 10.1080/00016489.2018.1527037 [doi] AB - BACKGROUND: Laryngeal squamous cell carcinoma (LSCC) is rare in the young. OBJECTIVES: We characterized the clinical behavior of LSCC and assessed the presentation of second primary tumors (SPCs) in this patient population. MATERIALS AND METHODS: Data from the Finnish Cancer Registry (FCR) were used to identify an epidemiological series of LSCC patients diagnosed at the age of 40 years or under, during 1953-2012 in Finland. Data regarding primary treatment, survival, and SPCs were available. To further characterize the comorbidity and lifestyle factors of young patients with LSCC, institutional data were collected of patients treated at the Helsinki University Hospital during 1967-2012. RESULTS: We identified 151 patients, with a mean follow-up of 252 months. The 10-year overall survival (OS) was 75% and the disease-specific survival was 84%. SPCs were diagnosed in 26% (n = 39), with a median delay of 28 years. Of the 35 patients in the institutional series from Helsinki, 22 (63%) were current or former smokers. LSCC recurred in 28% of patients. CONCLUSIONS AND SIGNIFICANCE: The delay to SPCs in young patients was significantly longer compared with the general LSCC population. As factors underlying this phenomenon cannot be identified by this retrospective study, further studies are warranted. FAU - Silen, Suvi AU - Silen S AUID- ORCID: 0000-0003-1240-0661 AD - a Department of Otorhinolaryngology - Head and Neck Surgery , University of Helsinki and Helsinki University Hospital , Helsinki , Finland. AD - b Division of Ear, Nose and Throat Diseases, Department of Clinical Sciences , Intervention and Technology, Karolinska Institutet, Karolinska University Hospital , Stockholm , Sweden. FAU - Haapaniemi, Aaro AU - Haapaniemi A AUID- ORCID: 0000-0003-3097-1118 AD - a Department of Otorhinolaryngology - Head and Neck Surgery , University of Helsinki and Helsinki University Hospital , Helsinki , Finland. FAU - Dickinson, Amy AU - Dickinson A AD - a Department of Otorhinolaryngology - Head and Neck Surgery , University of Helsinki and Helsinki University Hospital , Helsinki , Finland. FAU - Ronn, Karin AU - Ronn K AD - a Department of Otorhinolaryngology - Head and Neck Surgery , University of Helsinki and Helsinki University Hospital , Helsinki , Finland. FAU - Makitie, Antti AU - Makitie A AUID- ORCID: 0000-0002-0451-2404 AD - a Department of Otorhinolaryngology - Head and Neck Surgery , University of Helsinki and Helsinki University Hospital , Helsinki , Finland. AD - b Division of Ear, Nose and Throat Diseases, Department of Clinical Sciences , Intervention and Technology, Karolinska Institutet, Karolinska University Hospital , Stockholm , Sweden. LA - eng PT - Journal Article DEP - 20190203 PL - England TA - Acta Otolaryngol JT - Acta oto-laryngologica JID - 0370354 SB - IM MH - Adolescent MH - Adult MH - Carcinoma, Squamous Cell/etiology/*mortality MH - Child MH - Female MH - Finland/epidemiology MH - Humans MH - Incidence MH - Laryngeal Neoplasms/etiology/*mortality MH - Male MH - Neoplasm Recurrence, Local/*epidemiology MH - Neoplasms, Second Primary/*epidemiology MH - *Registries MH - Retrospective Studies MH - Young Adult OTO - NOTNLM OT - Squamous cell carcinoma OT - laryngeal cancer OT - recurrence OT - risk factors OT - second primary cancer OT - survival OT - young patients EDAT- 2019/02/05 06:00 MHDA- 2019/06/25 06:00 CRDT- 2019/02/05 06:00 PHST- 2019/02/05 06:00 [pubmed] PHST- 2019/06/25 06:00 [medline] PHST- 2019/02/05 06:00 [entrez] AID - 10.1080/00016489.2018.1527037 [doi] PST - ppublish SO - Acta Otolaryngol. 2019 Jan;139(1):85-89. doi: 10.1080/00016489.2018.1527037. Epub 2019 Feb 3.