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Anales de Otorrinolaringología Mexicana

2005, Number 4

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Otorrinolaringología 2005; 50 (4)

Diagnosis and treatment of cancer of the larynx at the department of otorhinolaryngology of the Hospital Central Sur de Alta Especialidad de Pemex

Armada VI, Tamez VM

Language: Spanish
References: 14
Page: 67-75
PDF size: 233.23 Kb.


ABSTRACT

Background: Laryngeal carcinoma represents 2% of all cancers in humankind. Among its risk factors we find: cigarette smoking, alcoholism, gastroesophageal reflux, and masculine gender.
Objective: To assess the characteristics of patients with laryngeal carcinoma at the Hospital Central Sur de Alta Especialidad de Pemex.
Patients and methods: We assessed the characteristics of patients with laryngeal carcinoma at the Hospital Central Sur de Alta Especialidad de Pemex in a period of 13 years, starting at 1990. We only included patients with verified histopathology diagnosis and with a complete clinical file.
Results: We found a total of 125 files, but only 45 met our criteria; from these, 13% were women. The main risk factor was the association of alcoholism and cigarette smoking. 43% of the patients were from Veracruz. The mean duration of symptoms were nine months, being dysphonia the main symptom in 87% of the cases, with an 81% of compromise at the glottis. The most frequent stages were I and III. The given treatments were radiotherapy on 47% of the cases, followed by surgery on 31%, and from those, total laryngectomy was the most common surgical procedure. Among other surgical treatments we found decortications and CO2 laser resection. From the whole, only nine patients presented reactivation of the tumor after treatment.
Conclusions: The reports of the studied population are similar to those on other parts of the world, with a high incidence at the states around the Mexican Gulf. In order to classify the tumor it is not necessary the laryngeal mapping.


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