PMID- 30776268 OWN - NLM STAT- MEDLINE DCOM- 20190611 LR - 20190613 IS - 1651-2251 (Electronic) IS - 0001-6489 (Linking) VI - 138 IP - 11 DP - 2018 Nov TI - Retrospective analysis of 659 laryngeal squamous cell carcinoma patients treated with open laryngeal function-preserving operations. PG - 1043-1050 LID - 10.1080/00016489.2018.1500711 [doi] AB - BACKGROUND: Open laryngeal function-preserving surgery is a common therapeutic strategy for Chinese laryngeal squamous cell carcinoma (LSCC) patients. OBJECTIVES: To explore the fundamental clinical characteristics and survival prognostic factors of LSCC patients treated with open laryngeal function-preserving operations. MATERIAL AND METHODS: about a total of 659 LSCC patients undergoing open laryngeal function-preserving operations were retrospectively reviewed. Kaplan-Meier method, Log-rank test and Cox regression model were performed in survival analyses. RESULTS: About 612 patients were glottic cancer, followed by 44 cases in supraglottis and 3 cases in subglottis. The number of patients in stage T1, T2, T3 and T4 was 190, 365, 100 and 4, respectively. Nineteen patients had positive cervical lymph nodes. The 5-year overall survival, disease-free survival and disease-specific survival rates were 90.1, 84.9 and 90.7%, respectively. T stage and second primary tumour were independent factors predicting overall survival, while T stage and pathological differentiation were independent risk factors for tumour recurrence and progression. CONCLUSIONS AND SIGNIFICANCE: Open laryngeal function-preserving surgery is a crucial therapeutic strategy for Chinese patients with early and, in some cases, advanced-stage LSCC. Early diagnosis and therapy and sufficient and safe surgical margins are key to improving the survival rate and reducing the risk of relapse in LSCC patients. FAU - Tang, Di AU - Tang D FAU - Tao, Lei AU - Tao L AD - a Department of Otolaryngology , Eye Ear Nose and Throat Hospital, Fudan University , Shanghai , China. FAU - Zhou, Liang AU - Zhou L AD - a Department of Otolaryngology , Eye Ear Nose and Throat Hospital, Fudan University , Shanghai , China. FAU - Zhang, Ming AU - Zhang M AD - a Department of Otolaryngology , Eye Ear Nose and Throat Hospital, Fudan University , Shanghai , China. FAU - Wu, Haitao AU - Wu H AD - a Department of Otolaryngology , Eye Ear Nose and Throat Hospital, Fudan University , Shanghai , China. FAU - Li, Xiaoming AU - Li X AD - a Department of Otolaryngology , Eye Ear Nose and Throat Hospital, Fudan University , Shanghai , China. FAU - Chen, Xiaoling AU - Chen X AD - a Department of Otolaryngology , Eye Ear Nose and Throat Hospital, Fudan University , Shanghai , China. FAU - Li, Cai AU - Li C AD - a Department of Otolaryngology , Eye Ear Nose and Throat Hospital, Fudan University , Shanghai , China. FAU - Xie, Ming AU - Xie M AD - a Department of Otolaryngology , Eye Ear Nose and Throat Hospital, Fudan University , Shanghai , China. FAU - Cheng, Lei AU - Cheng L AD - a Department of Otolaryngology , Eye Ear Nose and Throat Hospital, Fudan University , Shanghai , China. LA - eng PT - Journal Article PL - England TA - Acta Otolaryngol JT - Acta oto-laryngologica JID - 0370354 SB - IM MH - Aged MH - Carcinoma, Squamous Cell/mortality/pathology/*surgery MH - China MH - Cohort Studies MH - Disease-Free Survival MH - Female MH - Humans MH - Kaplan-Meier Estimate MH - Laryngeal Neoplasms/mortality/pathology/*surgery MH - Larynx/*physiology MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Neoplasm Invasiveness/pathology MH - Neoplasm Recurrence, Local/mortality/pathology/surgery MH - Neoplasm Staging MH - Organ Sparing Treatments/*methods MH - Otorhinolaryngologic Surgical Procedures/methods MH - Prognosis MH - Proportional Hazards Models MH - Retrospective Studies MH - Risk Assessment MH - Survival Analysis OTO - NOTNLM OT - Laryngeal squamous cell carcinoma OT - open laryngeal function-preserving operation OT - risk factors OT - survival prognosis EDAT- 2019/02/19 06:00 MHDA- 2019/06/14 06:00 CRDT- 2019/02/19 06:00 PHST- 2019/02/19 06:00 [entrez] PHST- 2019/02/19 06:00 [pubmed] PHST- 2019/06/14 06:00 [medline] AID - 10.1080/00016489.2018.1500711 [doi] PST - ppublish SO - Acta Otolaryngol. 2018 Nov;138(11):1043-1050. doi: 10.1080/00016489.2018.1500711.