Critical Appraisal of Watchful Waiting Policy in the Management of NO Neck of Advanced Laryngeal Carcinoma
Anthony Po Wing Yuen, FRCS, DLO;
William Ignace Wei, MS, FRCS, DLO;
Simon Hon Wai Wong, FRCS, DLO
Arch Otolaryngol Head Neck Surg. 1996;122(7):742-745.
Abstract
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Objective
To analyze the problem of nodal recurrence of NO neck advanced laryngeal carcinoma.
Design
Retrospective analysis.
Setting
Hospital referral center.
Patients
One hundred thirty-three patients with cancer stages T3-T4, NO, MO who had total laryngectomy between January 1981 and December 1990.
Main Outcome Measure
Nodal recurrence.
Results
Of the 11 patients who had elective radical neck dissections, there was no nodal recurrence. Of the other 122 patients who had no elective neck dissection, 19 patients (16%) developed nodal recurrence and all nodal recurrence was at levels II, III, and IV. Twelve patients (63%) underwent salvage radical neck dissection for nodal recurrence and they had a 38% adjusted 5-year actuarial survival rate. Of these 122 patients who had no elective neck dissection for the NO neck, 12 patients (10%) eventually died of nodal recurrence.
Conclusion
The watchful waiting policy is a satisfactory management option of NO neck of advanced laryngeal carcinoma.
Arch Otolaryngol Head Neck Surg. 1996;122:742-745
Author Affiliations
From the Division of Otorhinolaryngology, Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong.
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