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Treatment modality and outcomes in larynx cancer patients: A sex-based evaluation
Hong Li1, Eva Yujia Li2, Alexandra Eva Kejner3
1Department of Otolaryngology, Yale School of Medicine, New Haven, Connecticut.
Background:
To evaluate the differences in treatment modality and outcomes between male and female patients with laryngeal squamous cell carcinoma (SCC) in the United States.
Methods:
Data were extracted from the Surveillance, Epidemiology, and End Results Database for patients with laryngeal SCC (2004-2013). Overall survival (OS), disease specific survival (DSS), and multivariate analyses were conducted.
Results:
Among women, supraglottic cancers were the most prevalent (61.2%); whereas the majority of men developed glottic cancers (64.2%; P < .001). Women with T4 disease were more likely to undergo primary radiation (56.8% vs 45.3%; P < .001) and less likely to undergo open surgery were than men (37.1% vs 48.2%; P < .001). Women had significantly better OS in glottic and supraglottic cancers, and comparable survival in subglottic cancer. Sex remained an independent prognostic factor for both DSS and OS.
Conclusion:
Sex is an independent prognostic factor for DSS and OS in patients with laryngeal SCC.
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