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December 1981

Dispute 'Treatment of Choice'

Author Affiliations

New Britain, Conn

Arch Otolaryngol. 1981;107(12):774-775. doi:10.1001/archotol.1981.00790480050016

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To the Editor.—The article entitled "Pseudosarcoma of the Larynx: A Comprehensive Analysis," by Lambert et al published in the November Archives (1980;106:700-708), stated that "surgery is the treatment of choice, even for T1 glottic lesions, as radiation therapy is associated with a high local recurrence rate."

This conclusion certainly is not justified on the basis of the five cases reported from their institutions. The articles cited in the references also do not give a firm foundation for this statement. Details of the radiation treatment are not given in any of these articles, so that an appraisal of the quality of the treatment is impossible. In all probability, the statements by Davies (reference 9) and by Raven (reference 20) that radiation therapy adjunctive to surgery is, at this point in history, the best treatment for pseudosarcoma of the larynx is more reasonable than the conclusion by Lambert et al.

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