Laccourreye O, Weinstein G, Chabardes E, Housset M, Laccourreye H, Brasnu D
Department of Otolaryngology, Head and Neck Surgery, Hôpital Laënnec, University of Paris V, France.
Laryngoscope. 1992 Aug;102(8):896-900. doi: 10.1288/00005537-199208000-00009.
Twenty-two cases of early squamous cell carcinoma of the arytenoid cartilage staged as T1 according to the 1983 American Joint Committee for Cancer Staging Classification system were reviewed. Eighteen percent of the patients showed no symptoms. In the remaining 82%, the main presenting symptom was pain in the form of sore throat, odynophagia, or otalgia. Radiotherapy and partial laryngeal surgery were the options retained for the treatment of the larynx. A "watch and wait" policy or preventive treatment of the ipsilateral jugulocarotid lymph nodes were the treatment options retained for the neck. Significant differences were noted in terms of local and nodal recurrence between the two programs. Results indicate that partial laryngeal surgery with total arytenoidectomy and preventive treatment of the neck appear to be advisable for this particular type of primary lesion.
回顾了22例根据1983年美国癌症联合委员会分期分类系统分期为T1的早期杓状软骨鳞状细胞癌病例。18%的患者无症状。在其余82%的患者中，主要症状表现为咽痛、吞咽痛或耳痛形式的疼痛。放疗和部分喉手术是保留用于喉部治疗的选择。“观察等待”策略或同侧颈总动脉淋巴结的预防性治疗是保留用于颈部的治疗选择。两个方案在局部和淋巴结复发方面存在显著差异。结果表明，对于这种特殊类型的原发性病变，行部分喉手术加全杓状软骨切除术及颈部预防性治疗似乎是可取的。
