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European Archives of Oto-Rhino-Laryngology

Erschienen in:

27.09.2023 | Head and Neck

Treatment strategy in laryngeal chondrosarcoma: a multicenter study of 43 cases

verfasst von: Marianne Schleich, Laurent Laccourreye, Remi Marianowski, Xavier Dufour, Emmanuel Babin, Vianney Bastit, Jean Paul Marie, Cécile Badoual, Pierre Philouze, Florent Espitalier, Gonzague Du Bouexic De Pinieux, Sylvain Moriniere

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 2/2024

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Abstract

Purpose

Laryngeal chondrosarcoma is a rare tumor that mostly affects the cricoid cartilage. The aim of this study was to compare outcomes between the various treatments of this pathology as there are no official guidelines for this pathology.

Methods

A retrospective analysis of the pathology database of nine French tertiary care centers was conducted. Outcomes of patients treated by total laryngectomy were compared with those treated by more conservative approaches (endoscopic debulking, median thyrotomy, partial laryngectomy). Two Kaplan–Meier survival analyses were performed: one to assess the overall survival rate and the other to assess laryngeal preservation over time.

Results

A total of 43 patients were enrolled: 12 with total laryngectomy as the initial treatment, and 31 who initially underwent laryngeal-preserving treatment. With conservative treatment, laryngeal function was preserved in 96% and 75% of patients at 1 and 5 years, respectively. Conservative treatment did not reduce the overall survival rate.

Conclusion

These results suggest that laryngeal preservation should be considered as the initial treatment in cases of laryngeal chondrosarcoma.

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Titel: Treatment strategy in laryngeal chondrosarcoma: a multicenter study of 43 cases
verfasst von: Marianne Schleich
Laurent Laccourreye
Remi Marianowski
Xavier Dufour
Emmanuel Babin
Vianney Bastit
Jean Paul Marie
Cécile Badoual
Pierre Philouze
Florent Espitalier
Gonzague Du Bouexic De Pinieux
Sylvain Moriniere
Publikationsdatum: 27.09.2023
Verlag: Springer Berlin Heidelberg
Erschienen in: European Archives of Oto-Rhino-Laryngology / Ausgabe 2/2024
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-023-08248-7

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Treatment strategy in laryngeal chondrosarcoma: a multicenter study of 43 cases