Impact of age at diagnosis on prognosis and treatment in laryngeal cancer
2010 (English)In: Head and Neck, ISSN 1043-3074, E-ISSN 1097-0347, Vol. 32, no 8, 1062-1068 p.Article in journal (Refereed) Published
BACKGROUND.: The aims of this study were to analyze how age affects treatment and treatment outcome, and to determine whether tumor characteristics differ between different age groups with laryngeal cancer. METHODS.: Patients with laryngeal cancer during 1978-2004 in the Uppsala-Orebro region in Sweden were retrospectively studied. RESULTS.: There were no significant differences in the 945 cases between age groups concerning major patient and tumor characteristics, such as male/female ratio, distribution of glottic/supraglottic tumors, stage, or site of recurrence. Overall survival (OS) and disease-specific survival (DSS) were worse among the oldest, although a significant proportion was cured. Relapse risk was lower among the oldest (12%) compared with the youngest (23%). The risk of never becoming tumor-free was 25% among the oldest and 7% in the youngest. Among the most elderly, only 1 late recurrence occurred. CONCLUSION.: Elderly patients with laryngeal carcinoma cope well with treatment. Undertreatment may determine outcome more than age. The oldest group should be followed for a minimum of 2 years.
Place, publisher, year, edition, pages
2010. Vol. 32, no 8, 1062-1068 p.
laryngeal, cancer, age, prognosis, radiotherapy
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:uu:diva-113866DOI: 10.1002/hed.21292ISI: 000280539500011PubMedID: 19953624OAI: oai:DiVA.org:uu-113866DiVA: diva2:292026