TY - JOUR
T1 - Treatment strategy in laryngeal chondrosarcoma
T2 - a multicenter study of 43 cases
AU - Schleich, Marianne
AU - Laccourreye, Laurent
AU - Marianowski, Remi
AU - Dufour, Xavier
AU - Babin, Emmanuel
AU - Bastit, Vianney
AU - Marie, Jean Paul
AU - Badoual, Cécile
AU - Philouze, Pierre
AU - Espitalier, Florent
AU - Du Bouexic De Pinieux, Gonzague
AU - Moriniere, Sylvain
N1 - Publisher Copyright:
© 2023, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
PY - 2024/2/1
Y1 - 2024/2/1
N2 - 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.
AB - 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.
KW - Chondrosarcoma
KW - Laryngeal cancer
KW - Laryngeal tumor
KW - Laryngectomy
KW - Larynx
UR - http://www.scopus.com/inward/record.url?scp=85172074225&partnerID=8YFLogxK
U2 - 10.1007/s00405-023-08248-7
DO - 10.1007/s00405-023-08248-7
M3 - Article
C2 - 37752251
AN - SCOPUS:85172074225
SN - 0937-4477
VL - 281
SP - 883
EP - 890
JO - European Archives of Oto-Rhino-Laryngology
JF - European Archives of Oto-Rhino-Laryngology
IS - 2
ER -