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Predictors of thyroid gland involvement in hypopharyngeal squamous cell carcinoma

Authors
 Jae Won Chang  ;  Yoon Woo Koh  ;  Woong Youn Chung  ;  Soon Won Hong  ;  Eun Chang Choi 
Citation
 YONSEI MEDICAL JOURNAL, Vol.56(3) : 812-818, 2015 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
2015
MeSH
Adult ; Aged ; Aged, 80 and over ; Carcinoma, Squamous Cell/epidemiology ; Carcinoma, Squamous Cell/pathology ; Carcinoma, Squamous Cell/surgery* ; Disease-Free Survival ; Female ; Humans ; Hypopharyngeal Neoplasms/epidemiology ; Hypopharyngeal Neoplasms/pathology ; Hypopharyngeal Neoplasms/surgery* ; Incidence ; Laryngectomy* ; Male ; Middle Aged ; Neoplasm Invasiveness ; Neoplasms, Second Primary/epidemiology ; Neoplasms, Second Primary/pathology ; Neoplasms, Second Primary/surgery ; Pharyngectomy* ; Predictive Value of Tests ; Prevalence ; Republic of Korea/epidemiology ; Retrospective Studies ; Thyroid Gland/pathology* ; Thyroid Gland/surgery ; Thyroid Neoplasms/epidemiology ; Thyroid Neoplasms/secondary* ; Thyroidectomy/methods*
Keywords
Hypopharyngeal cancer ; thyroid cartilage invasion ; thyroidectomy ; total laryngopharyngectomy
Abstract
PURPOSE: Decision to perform concurrent ipsilateral thyroidectomy on patients with hypopharyngeal cancer is important, and unnecessary thyroidectomy should be avoided if oncologically feasible. We hypothesized that concurrent ipsilateral thyroidectomy is not routinely required to prevent occult metastasis. This study aimed to determine the prevalence of histological thyroid invasion in patients with hypopharyngeal cancer, and to refine the indications for prophylactic ipsilateral thyroidectomy in patients with hypopharyngeal cancer. MATERIALS AND METHODS: A retrospective review of the medical records from the Department of Otolaryngology at Yonsei University College of Medicine was conducted from January 1994 to December 2009. A total of 49 patients underwent laryngopharyngectomy with thyroidectomy as a primary treatment of hypopharyngeal cancer. RESULTS: The incidence of thyroid gland involvement was 10.2%. The most common route of invasion was direct extension through the thyroid cartilage. Thyroid cartilage invasion (p=0.034) was the most significant factor associated with thyroid invasion. Disease-specific survival at 5 years was lower in patients with than without thyroid gland invasion (26.7% vs. 55.2%, respectively; p=0.032). Disease-free survival at 5 years was also lower in patients with than without thyroid gland invasion (20.0% vs. 52.1%, respectively; p=0.024). CONCLUSION: Ipsilateral thyroidectomy in combination with total laryngopharyngectomy is indicated when invasion of the thyroid cartilage is suspected in patients with hypopharyngeal cancer.
Files in This Item:
T201504025.pdf Download
DOI
10.3349/ymj.2015.56.3.812
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kho, Yoon Woo(고윤우)
Chang, Jae Won(장재원)
Chung, Woung Youn(정웅윤)
Choi, Eun Chang(최은창)
Hong, Soon Won(홍순원) ORCID logo https://orcid.org/0000-0002-0324-2414
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/141566
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