T1 glottic laryngeal cancer: the role of routine follow-up visits in detecting local recurrence

Pihla Pakkanen, Taru Ilmarinen, Elina Halme, Heikki Irjala, Petri Koivunen, Matti Pukkila, Sami Ventelä, Jaana Hagström, Leena Maija Aaltonen

    Research output: Contribution to journalArticleScientificpeer-review

    6 Citations (Scopus)
    7 Downloads (Pure)

    Abstract

    Purpose: We assessed the treatment outcome and the benefits of routine follow-up visits in T1 glottic laryngeal squamous cell carcinoma (LSCC). Methods: Medical records of patients diagnosed with stage T1 glottic LSCC (N = 303) in five Finnish university hospitals between 2003 and 2015 were reviewed. Moreover, data from the Finnish Cancer Registry and the Population Register Center were collected. Results: Of all 38 recurrences, 26 (68%) were detected during a routine follow-up visit, and over half (21 of 38, 55%) presented without new symptoms. Primary treatment method (surgery vs. radiotherapy) was not connected with 5-year disease-specific survival (DSS) or laryngeal preservation rate. Conclusion: The majority of recurrences were detected on a routine follow-up visit, and local recurrences often presented without new symptoms. Routine post-treatment follow-up of T1 glottic LSCC seems beneficial. Trial registration: Trial registration number and date of registration HUS/356/2017 11.12.2017.

    Original languageEnglish
    JournalEuropean Archives of Oto-Rhino-Laryngology
    DOIs
    Publication statusE-pub ahead of print - 6 Aug 2021
    Publication typeA1 Journal article-refereed

    Funding

    Open access funding provided by University of Helsinki including Helsinki University Central Hospital. The study was funded by Helsinki University Hospital research funds.

    Keywords

    • Early laryngeal cancer
    • Follow-up
    • Glottic cancer
    • Recurrence
    • Treatment method

    Publication forum classification

    • Publication forum level 1

    ASJC Scopus subject areas

    • Otorhinolaryngology

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