Carcinoma do Laringe: Análise dos resultados de 57 pacientes, estádios III e IV, tratados com cirurgia e radioterapia radicais
DOI:
https://doi.org/10.32635/2176-9745.RBC.1987v33n1.3162Palavras-chave:
Neoplasias Laríngeas, Câncer de Laringe, Cirurgia Geral, Radioterapia, Fatores PrognósticosResumo
No período de janeiro de 1981 a dezembro de 1983,57 pacientes matriculados no Instituto Nacional de Câncer com carcinoma avançado do laringe foram tratados com cirurgia e radioterapia radicais. A região supraglótica foi a mais comumente atingida. A taxa de controle local foi de 79% e a sobrevida atuarial em 5 anos foi de 55%. Dez pacientes (17,5%) falharam à distância. O significado prognóstico do estádio T, comprometimento nodal, margens cirúrgicas e tempo decorrido entre a cirurgia e o início da radioterapia foi avaliado. Nenhum desses fatores influiu no controle loco-regional, mas os tumores N2 apresentaram pior sobrevida quando comparados aos N0 (36% vs 76% ; p = 0,02). Os achados desse estudo sugerem que a abordagem cirúrgica inicial deva ser mais conservadora e que a dissecção radical do pescoço não parece favorecer o controle local nem reduzir a mortalidade.
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