POLLACK R S
Calif Med. 1961 Aug;95(2):115-7.
Improvements in the surgical treatment of laryngeal cancer by combined laryngectomy and radical neck dissection have given new importance to selection of the mode of treatment for various stages of disease at that site. To cast light on the subject, the cases of 63 patients with cancer of the larynx were reviewed. Twenty-one of them were operated on for recurrence after radiation therapy; and 42 were treated surgically at the outset, 36 of them having combined laryngectomy and radical neck dissection. In almost 80 per cent of the patients the lesion was extrinsic. In the entire series, 51 patients had combined operations, and in 41 of them the cervical lymph nodes were positive for metastasis. Reports in the literature also make note of a very high incidence of cervical node metastasis not only in cases of extrinsic cancer, but also in those in which the lesion is intrinsic. Because of the frequency of cervical node spread, and its occult nature, choice between radiation and surgical operation must be made after candid, critical appraisal of the individual condition in each patient.
喉癌联合喉切除术与根治性颈清扫术的外科治疗进展，使得该部位不同疾病阶段治疗方式的选择有了新的重要性。为阐明这一问题，回顾了63例喉癌患者的病例。其中21例为放疗后复发接受手术治疗；42例初治即接受手术，其中36例行联合喉切除术与根治性颈清扫术。近80%的患者病变为外生性。在整个系列中，51例患者接受了联合手术，其中41例颈部淋巴结有转移。文献报道也指出，不仅外生性癌，而且内生性病变患者的颈部淋巴结转移发生率都非常高。由于颈部淋巴结转移频繁且隐匿，在对每位患者的个体情况进行坦诚、审慎评估后，必须在放疗和手术之间做出选择。
