Management of T3 N0 and T4 N0 glottic carcinomas: Results of a national survey

Ryan M. Greene, Adriane I. Dewitt, Randal A. Otto

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

OBJECTIVE: A survey was undertaken to document the clinical management of T3 and T4 pure glottic primary carcinomas and the management of the N0 neck by otolaryngologists and radiation oncologists. STUDY DESIGN AND SETTING: This study represents the results of a national survey of 250 otolaryngologists and 250 radiation oncologists regarding management of T3 N0 M0 and T4 N0 M0 glottic carcinomas. RESULTS: Of the surveys sent, 208 completed questionnaires were received. Results of this survey suggest that 87% and 90% will treat the neck for a T3 N0 M0 and T4 N0 M0 glottic tumor, respectively, with a large number choosing to perform a radical neck dissection. CONCLUSIONS: A significant percentage of otolaryngologists perform neck dissections in the management of T3 N0 M0 and T4 N0 M0 glottic carcinomas. Given the relatively low risk of occult metastasis, potentially high morbidity associated with overtreatment, and the lack of a well-designed outcome study investigating treatment alternatives, a prospective randomized study is needed to address the issue.

Original languageEnglish (US)
Pages (from-to)191-195
Number of pages5
JournalOtolaryngology - Head and Neck Surgery
Volume128
Issue number2
DOIs
StatePublished - Feb 1 2003

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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