Pulmonary metastasis in laryngeal squamous cell carcinoma

Autor: Uğur Temel, Gülpembe Bozkurt, Didem Rıfkı, Berna Uslu Coşkun, Senem Kurt Dizdar, Meltem Akpinar
Rok vydání: 2016
Předmět:
Zdroj: SiSli Etfal Hastanesi Tip Bulteni / The Medical Bulletin of Sisli Hospital. :303-8
ISSN: 1308-5123
1302-7123
DOI: 10.5350/semb.20160805021907
Popis: Objective: To identify the factors associated with pulmonary metastasis, such as lymph node positivity, tumour location and histological differentiation in patients with laryngeal squamous cell carcinoma (scc). Material and Methods: This study is designed as retrospective cohort study. Data from 263 patients diagnosed with laryngeal scc were reviewed retrospectively. Pulmonary metastasis was observed in 39 of these patients. Results: The transglottic tumors had the highest pulmonary metastasis rate (%50). The pulmonary metastasis rate was significantly lower in patients with glottic tumors than those with tumors in other regions (p= 0.003) The pulmonary metastasis rate was higher in lymph node-positive patients than in lymph node-negative patients. Pulmonary metastasis rate was significantly higher among patients with N2-N3 stage lymph nodes compared to those with N1 stage lymph nodes. Pulmonary metastasis rate is also increased significantly among patients with histologically poorly differentiated tumors (p= 0.001). Conclusion: The laryngeal cancer patients with positive lymph node, with transglottic tumour and with poorly/moderately differentiated tumour should be monitored carefully and followed up closely for possible pulmonary metastasis.
Databáze: OpenAIRE