این سایت در حال حاضر پشتیبانی نمی شود و امکان دارد داده های نشریات بروز نباشند
Iranian Journal of Otorhinolaryngology، جلد ۳۲، شماره ۴، صفحات ۲۲۳-۲۲۷
عنوان فارسی
چکیده فارسی مقاله
کلیدواژه‌های فارسی مقاله
عنوان انگلیسی Assessment of Surgeon Judgment during Resection of Laryngeal Carcinoma
چکیده انگلیسی مقاله Introduction: Carbon dioxide (CO2) laser surgery as a conservative tool plays a peculiar role in the management of head and neck cancer. Numerous patients who were candidates for transoral laryngeal microsurgery have forced us to eliminate frozen-section evaluation of surgical margins and use a magnified view of the larynx. The present study evaluated surgeon-judged negative margins with permanent microscopic pathologic evaluation. Materials and Methods: In this cross-sectional study, we evaluated the permanent pathologic margins of the resected laryngeal specimen which were considered negative by the magnified microscopic judgment of surgeons. Patients consisted of 61 pathologic proven T1-T2 laryngeal squamous cell carcinoma (SCC) cases. In all patients, tumor resection was performed via a transoral route with CO2 laser, and no residual laryngeal tumor was observed according to the magnified microscopic judgment of the surgeon. The patients with positive margin(s) underwent another resection. Patients were followed up for 18 months for tumor recurrence. Results: The obtained results demonstrated that pathologic margins were reported in 6 patients, with the deep margin being the most common positive margin. During the 18-month follow-up, 8 cases of recurrence were detected and the recurrence was not associated with positive margin. Conclusion: The magnified microscopic judgment of the surgeon was in agreement with permanent pathologic evaluation in transoral laryngeal laser resection at the early stages of laryngeal SCC. Nevertheless, it is suggested that further direct studies be conducted to evaluate the frozen section on oncologic outcomes in transoral laser surgery for laryngeal cancer. 
کلیدواژه‌های انگلیسی مقاله
نویسندگان مقاله | Ebrahim Karimi
Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, Iran.


| Reza Erfanian
Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, Iran.


| Payman Dabirmoghaddam
Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, Iran.


| Saeed Shakiba
School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.


| Saeed Sohrabpour
Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
نشانی اینترنتی http://ijorl.mums.ac.ir/article_16026.html
فایل مقاله اشکال در دسترسی به فایل - ./files/site1/rds_journals/11/article-11-2466321.pdf
کد مقاله (doi)
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده
نوع مقاله منتشر شده Original
برگشت به: صفحه اول پایگاه   |   نسخه مرتبط   |   نشریه مرتبط   |   فهرست نشریات