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October 1987

The Effects of Continued Tobacco Smoking in Laryngeal Cancer Patients

Author Affiliations

Winston-Salem, NC

Arch Otolaryngol Head Neck Surg. 1987;113(10):1047. doi:10.1001/archotol.1987.01860100025013

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The effect of continued smoking in a laryngeal cancer patient population from the Scott and White Clinic in Temple, Tex, was examined by Tibor Ruff, MD, and associates. At the American Society of Head and Neck Surgeons meeting in Denver, these authors reported that the survival, the disease-free interval, and the incidence of second primary cancers for 46 laryngeal cancer patients who continued to smoke after treatment were no different statistically from those variables for 44 laryngeal cancer patients who had discontinued smoking. The mean follow-up for all patients was 10.8 years.

Comment.—These findings were at variance with those of other studies reviewed and quoted by the authors in that continued smoking in those studies was associated with a greater second primary tumor rate. This variance was perhaps due to their inclusion of all second primary sites in their calculations. Only three of eight second primary tumors seen were

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