Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2019, Vol. 33 ›› Issue (4): 40-42.doi: 10.6040/j.issn.1673-3770.1.2019.042

• Interpretation of Foreign Clinical Guidelines • Previous Articles     Next Articles

Application of laryngeal retention strategy in the treatment of laryngeal cancer - introduction to the clinical practice guide of the American Society of Clinical Oncology (2017)

Xiaohan SUN,Na LI*()   

  1. Department of Otorhinolaryngology Head and Neck Surgery, The Affiliated Hospital of Qingdao University, Qingdao 266003, Shandong, China
  • Received:2019-05-10 Online:2019-07-16 Published:2019-07-22
  • Contact: Na LI E-mail:dr.lina@163.com

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Abstract:

美国临床肿瘤学会2017年对喉保留策略在喉癌治疗中的应用——美国临床肿瘤学会临床实践指南进行更新。对适当的患者采用保喉方法治疗并不影响生存率。对T1、T2期患者应采用内镜手术切除病灶或放疗。对于T3、T4期患者应行喉保留手术、联合放化疗或单纯放疗。对广泛受累的T3或T4a期或治疗前已有严重喉功能不全的患者应行全喉切除术以提高生存率及生活质量。治疗前患者应接受喉语音及吞咽功能的基础评估。指南推荐了评价喉发声及吞咽功能的最佳方案。

Key words: Laryngeal neoplasms, Surgical procedures, operative, Combined modality therapy, Guideline

CLC Number: 

  • R739.6
1 Forastiere AA , Ismaila N , Lewin JS , et al. Use of larynx-preservation strategies in the treatment of laryngeal cancer: American society of clinical oncology clinical practice guideline update[J]. J Clin Oncol, 2018, 36 (11): 1143- 1169.
doi: 10.1200/JCO.2017.75.7385
2 中华耳鼻咽喉头颈外科杂志编辑委员会头颈外科组, 中华医学会耳鼻咽喉头颈外科学分会头颈学组, 李晓明. 喉癌外科手术及综合治疗专家共识[J]. 中华耳鼻咽喉头颈外科杂志, 2014, 49 (8): 620- 626.
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