Comparing preoperative, intraoperative, and postoperative staging of larynx cancer

Objectives: Preoperative, intraoperative, and postoperative stagings of larynx cancer are compared to contribute optimum management of disease for individual patients who had larynx cancer.Methods: This study designed with retrospective review of 48 patients, 5 female (10.4%), and 43 male (89.6%), who had surgical management for larynx cancer without prior radiotherapy, at Haydarpasa Numune Education and Research Hospital, Otorhinolaryngology Department I.Results: The mean age of patients was 58.2±19.3, and 56.25% of them had transglottic, 27.08% had supraglottic, and 16.66% had glottic tumor. The rates of stage I tumors were 4.16% preoperatively, 8.33% postoperatively, while intraoperative none of them had stage I. The rates of stage II were 25, 27.03, 22.91%, stage III were 58.14, 39.58, 43.75%, and stage IV were 12.5, 33.33, 25% respectively. The mean inaccuracy rate was 40.4%. The stages of disease increased intraoperatively compared to preoperative results, and this was statistically significant (p0.05).Conclusion: The extension of lesion is evaluated beter during surgery. Therefore intraoperative evaluation should be consider important to decision extension of surgery.