To the Editor.—Rothfield et al1 recently published a report on a series of 54 patients with T1 squamous cell carcinoma of the true vocal cord treated with hemilaryngectomy; 43 of 54 patients were operated on for de novo lesions. The authors are to be commended for their excellent treatment results. However, they make several observations with which I take issue:
The authors categorically state that hemilaryngectomy offers better cure rates than external-beam irradiation. They reported local control with hemilaryngectomy in 42 (98%) of 43 patients with de novo lesions; included were 3 patients who died of intercurrent disease. In a study of a series of patients with T1 vocal cord cancers recently published by the University of Florida (Gainesville), local control with irradiation was achieved in 144 (93%) of 155 patients suitable for a conservative laryngeal procedure.2 Eleven patients who died of intercurrent disease with the primary
MENDENHALL WD, PARSONS JT, CASSISI NJ, STRINGER SP. The Role of Hemilaryngectomy in the Management of T1 Vocal Cord Cancer. Arch Otolaryngol Head Neck Surg. 1990;116(1):107–108. doi:10.1001/archotol.1990.01870010111028
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