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Treatment of Vocal Cord Carcinoma

Treatment of Vocal Cord Carcinoma To the Editor.— The lead topic in the MEDICAL NEWS section of The Journal in the March 11 issue (1983;289:1241) was somewhat misleading. One hundred seventy-seven patients were treated during a 26-year period at the Department of Radiation Oncology, Washington University School of Medicine, St Louis, for vocal cord carcinoma. The results are indeed excellent and the authors compared their results with surgical results and include information on cost-effectiveness. The authors may or may not be aware that the advent of the carbon dioxide surgical laser has allowed the endoscopic removal of T1 lesions of the larynx with similar cure rates, decreased cost, and comparable survival rates. During the last four years, I have treated 16 patients with T1 carcinomas of the larynx. Each of these patients was in the hospital for less than 48 hours, and the total charges for the surgeon and hospitalization were considerably less than $2,920, http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Treatment of Vocal Cord Carcinoma

Koufman, James A.
JAMA , Volume 250 (8) – Aug 26, 1983
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Publisher
American Medical Association
Copyright
Copyright © 1983 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1983.03340080016012
Publisher site
See Article on Publisher Site

Abstract

To the Editor.— The lead topic in the MEDICAL NEWS section of The Journal in the March 11 issue (1983;289:1241) was somewhat misleading. One hundred seventy-seven patients were treated during a 26-year period at the Department of Radiation Oncology, Washington University School of Medicine, St Louis, for vocal cord carcinoma. The results are indeed excellent and the authors compared their results with surgical results and include information on cost-effectiveness. The authors may or may not be aware that the advent of the carbon dioxide surgical laser has allowed the endoscopic removal of T1 lesions of the larynx with similar cure rates, decreased cost, and comparable survival rates. During the last four years, I have treated 16 patients with T1 carcinomas of the larynx. Each of these patients was in the hospital for less than 48 hours, and the total charges for the surgeon and hospitalization were considerably less than $2,920,

Journal

JAMA – American Medical Association

Published: Aug 26, 1983

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