Abstract

Amaç: Suprakrioid parsiyel larenjektomi uygulanan hastalarda patolojik ön komissür invazyonu oranının belirlenmesi Materyal ve Metot: Kliniğimizde larenksin skuamöz hücreli kanseri nedeniyle suprakrikoid larenjektomi uygulanmış olan hastaların dosyalarındaki patolojik ön komissür invazyonu oranı ve patolojik ön komissür invazyonu ile tümörün diğer özellikleri retrospektif olarak tarandı. Bulgular: Suprakrikoid parsiyel larenjektomi uygulanan hastalarda ön komissür invazyonu oranı %51,8 olarak saptandı. Ön komissür invazyonu olan hastaların %64,3’ü T2 evresinde idi. Fakat, T2 evresindeki hastaların %56,25’inde ön komissür invazyonu tespit edildi. T3 evresindeki hastalarda ön komissür invazyonu tespit edilmemişken, T1b evresindeki hastaların tümünde ön komissür invazyonu tespit edildi. Sonuç: Glottik bölge kanserlerin tedavisinde etkili ve güvenli bir metod olan suprakrikoid parsiyel larenjektomi kararı verilirken ön komissür invazyonu değerlendirilmesi kritiktir, ve T1b tümörlerde ön komissür invazyonu dikkatlice değerlendirilmelidir.

Keywords

• glottic
• larynx
• cancer; invasion

The Rate of Anterior Commissure Invasion in Supracricoid Laryngectomy

Abstract

Aim: To determine the pathologic anterior commissure invasion rate in patients undergoing supracricoid partial laryngectomy. Material and Method: We have reviewed retrospectively the files of patients who underwent supracricoid partial laryngectomy for squamous cell carcinoma of the larynx in our clinic to determine the rates of pathologic anterior commissure invasion and to investigate the relationship of pathologic anterior commissure invasion according to other characteristics of the tumor. Results: Anterior commissure invasion was found in 51.8% of the patients who underwent supracricoid partial laryngectomy. Some 64.3% of the patients with anterior commissure invasion were in stage T2. The anterior commissure invasion rate was 56.25% in T2 tumors. Anterior commissure invasion was detected in all patients with T1b, whereas no anterior commissure invasion was detected in any T3 cases. Conclusion: In the selection of the supracricoid laryngectomy technique, which can be performed effectively and safely in the treatment of glottic region tumors, anterior commissure invasion is critical, and T1b tumors, in particular, should be evaluated carefully for anterior commissure invasion.

Keywords

• glottis
• larenks
• kanser; invazyon

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