De Campora E, Radici M, Bicciolo G
Divisione di Otorinolaringoiatria, Ospedale Generale S. Giovanni Calibita Fatebenefratelli, Isola Tiberina, Roma.
Acta Otorhinolaryngol Ital. 1995 Feb;15(1):28-39.
The term laryngeal T4 carcinoma is applied to a heterogeneous group of neoplasias which may be treated following various surgical approaches. The elective therapy in dealing with many of these tumours (minimal cartilage involvement, marginal hypopharyngeal extension, supra-glottic cancer with oro-pharyngeal extension) is that of a conservative approach. Our clinical experience with regard to 276 T4 laryngeal tumours is presented in this paper. Oncological and functional results with partial surgery are reviewed and discussed and long-term results obtained with widened total laryngectomy (plus Radio and/or Chemotherapy) are presented.
喉T4期癌这一术语适用于一组异质性肿瘤，这些肿瘤可通过多种手术方法进行治疗。对于其中许多肿瘤（软骨受累轻微、下咽边缘性扩展、伴有口咽扩展的声门上癌），选择性治疗方法是采取保守治疗。本文介绍了我们对276例喉T4期肿瘤的临床经验。回顾并讨论了部分手术的肿瘤学和功能结果，并展示了扩大全喉切除术（加放疗和/或化疗）所取得的长期结果。
