ĐẶC ĐIỂM LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ PHẪU THUẬT BẢO TỒN THANH QUẢN TRÊN BỆNH NHÂN UNG THƯ THANH QUẢN GIAI ĐOẠN I-II

Abstract

Background: Laryngeal cancer is the most common malignancy in the field of Otorhinolaryngology. In addition to its role in oncologic control, partial laryngectomy enables partial restoration of anatomical structures and preservation of laryngeal function, thereby improving patients’ quality of life. Objectives: To describe the clinical and paraclinical characteristics and to evaluate the treatment outcomes of laryngeal preservation surgery in patients with stage I–II laryngeal cancer. Materials and methods:  A descriptive case series was conducted on 41 patients diagnosed with stage I–II laryngeal cancer who were indicated for partial laryngectomy at Can Tho Oncology Hospital. Results: Patients had a mean age of 61.8 ± 7.26 years, with most cases occurring in the 50– 70-year age group and a male predominance. A history of smoking and alcohol consumption was reported in 75.6% of patients. Hoarseness was present in 100% of cases. T1 tumors accounted for 82.9%, and all patients were classified as N0. The mean postoperative hospital stay was 8.63 ± 2.38 days. No intraoperative complications were recorded. Postoperative surgical site infection occurred in 2.4% of cases. Negative surgical margins were achieved in 97.6% of patients. The 6-month recurrence rate was 9.8%. No mortality was observed in the study cohort at the 6-month follow-up. Conclusion: Partial laryngectomy provides effective local tumor control with acceptable safety, while preserving both the anatomical integrity and functional outcomes of the larynx.