The impact of computed tomography on pretherapeutic staging in patients with laryngeal cancer: demonstration of the Will Rogers' phenomenon

Head & Neck
Gretchen A Champion, Jay F Piccirillo

Abstract

The purpose of this study was to demonstrate that pretherapeutic CT of patients with primary laryngeal cancer results in stage migration, therefore affecting laryngeal cancer outcome data. We retrospectively reviewed the medical records of 90 patients with primary laryngeal cancer diagnosed between January 1, 1995, and December 31, 1997, at a university hospital. The disease in 15 (17%) of 90 patients was reclassified into a new TNM stage after pretherapeutic CT. As a result, stage-specific survival rates improved in three of four TNM stages, even though average survival for the entire cohort did not change. The TNM staging system is not a temporally stable classification and prediction system, because TNM assignment varies on the basis of the type of pretherapeutic evaluation. Outcome data for patients with laryngeal cancer must account for the introduction of new technologies that affect our ability to diagnose and stage this disease.

References

Nov 1, 1990·Archives of Otolaryngology--head & Neck Surgery·P J HillsamerD C Young
Mar 1, 1990·Head & Neck·W B SternK S Heller
May 1, 1989·Archives of Otolaryngology--head & Neck Surgery·S SulfaroA Carbone
Jul 1, 1986·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·G P KatsantonisW H Friedman
Nov 1, 1985·Archives of Otolaryngology·M H StevensJ L Parkin
Jul 1, 1984·Archives of Otolaryngology·M FriedmanE Skolnik
Dec 16, 1998·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·R B PrehnC N Ford
Mar 8, 2003·Archives of Otolaryngology--head & Neck Surgery·Paul L Friedlander
Mar 8, 2003·Archives of Otolaryngology--head & Neck Surgery·Carol R Bradford
Mar 8, 2003·Archives of Otolaryngology--head & Neck Surgery·Wayne Koch

❮ Previous
Next ❯

Citations

May 24, 2007·Plastic and Reconstructive Surgery·Shunjiro YagiShuhei Torii
Sep 26, 2012·Case Reports in Pediatrics·Issam SalibaNabil Moukarzel
Feb 22, 2016·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·Nina Munk LyhneJens Overgaard
Apr 1, 2008·International Journal of Radiation Oncology, Biology, Physics·Kyle E RusthovenChanghu Chen
Nov 13, 2007·The Journal of Urology·Ofer N GofritArieh L Shalhav
Dec 21, 2004·International Journal of Cancer. Journal International Du Cancer·André Lopes CarvalhoLuiz Paulo Kowalski
Sep 2, 2006·The Laryngoscope·Henry T HoffmanRobert A Robinson
Mar 2, 2010·Head & Neck·Robert P TakesAlfio Ferlito
Jul 23, 2013·International Journal of Cancer. Journal International Du Cancer·Boukje A C van DijkEsther de Vries
Mar 26, 2016·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·Nina Munk LyhneJens Overgaard
Jan 14, 2017·Zeitschrift für Rheumatologie·W A Golder
Nov 16, 2017·Radiation Oncology·Lynne M DixonNicholas J Slevin
Feb 27, 2017·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·W A Golder
Mar 25, 2019·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·V G NayanaP Muraleedharan Nampoothiri
May 19, 2021·BMC Cancer·Mary R NittalaSrinivasan Vijayakumar
Jul 16, 2021·Annals of Surgical Oncology·Michael M LiStephen Y Kang

❮ Previous
Next ❯

Related Concepts

Related Feeds

Carcinoma, Squamous Cell

Basal cell carcinoma is a form of malignant skin cancer found on the head and neck regions and has low rates of metastasis. Discover the latest research on basal cell carcinoma here.