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Blood transfusions in laryngeal cancer: Effect on prognosis

✍ Scribed by Xavier León; Miquel Quer; M. Luz Maestre; Joaquim Burgués; Eduardo Muñiz; Pedro Madoz

Publisher
John Wiley and Sons
Year
1996
Tongue
English
Weight
652 KB
Volume
18
Category
Article
ISSN
1043-3074

No coin nor oath required. For personal study only.

✦ Synopsis

Methods. To evaluate the influence of homologous perioperative transfusion on oncologic control and survival in patients with larynx and hypopharynx carcinomas, we conducted a retrospective study of 269 patients with larynx and hypopharynx carcinoma treated by major surgical procedures. A total of 20 variables were analyzed for each patient.

Results. Perioperative transfusion was required in 86 (32%) patients, with packed red blood cells being used in all cases. Recurrence at a local, regional, or distant level was 31% for nontransfused and 35% for transfused patients. The 5-year adjusted survival was 68% for patients without transfusion and 63% for patients with transfusion. Neither the univariate nor the multivariate analysis showed that perioperative transfusion or the number of units of packed red blood cells used had any prognostic capacity.

Conclusions. Homologous perioperative transfusion did not imply a significant risk regarding global control or survival in our larynx or hypopharynx cancer patients.

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