Tumores glóticos precoces con afectación de la comisura anterior. Revisión bibliográfica y documento de consenso. Comisión de cabeza y cuello y base de cráneo. SEORL-CCC
| Autor: | Isabel González, Alicia Menoyo Bueno, Manuela Sancho Mestre, Rafael Barberá Durbán, Eulalia Porras Alonso, Juan Rebollo Otal, Miguel García Teno, Pedro Díaz de Cerio Canduela, Guillem Viscasillas Pallàs |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Surgical approach Co2 laser business.industry medicine.medical_treatment Anterior commissure Microsurgery Commissure 03 medical and health sciences Skull 0302 clinical medicine Systematic review medicine.anatomical_structure Otorhinolaryngology 030220 oncology & carcinogenesis Medicine Radiology 030223 otorhinolaryngology business Head and neck |
| Zdroj: | Acta Otorrinolaringológica Española. 71:1-20 |
| ISSN: | 0001-6519 |
| DOI: | 10.1016/j.otorri.2020.02.008 |
| Popis: | The choice of the most appropriate treatment in early-stage glottic cancer with anterior commissure involvement remains controversial. Its therapeutic management is complex because it is a significant prognostic indicator of local control with 37% recurrence, due to the difficulty in establishing tumour extension with understaging of up to 40%, and due to the comparison of results in series on tumours that behave variably as they progress, such as T1a, T1b and T2a with commissure involvement. Furthermore, the complexity of the surgical approach using transoral CO2 laser microsurgery requires surgical skill, appropriate equipment and experience. Aspects to be reviewed in this document are: an updated anatomical definition of the anterior commissure, tumour progression based on histopathological studies, usefulness of videostroboscopy and NBI in diagnostic accuracy, validity of imaging tests, oncological results published in series reviews, systematic reviews and meta-analyses, tumour margin treatment and voice evaluation.Finally, by way of a summary, the document includes a series of recommendations for the treatment of these tumours. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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