Hypothyroidism incidence after multimodal treatment for laryngeal cancer

• Published in: Cirugia y cirujanos Vol. 80; no. 5; p. 448
• Main Authors: Ortega-Gutiérrez, César, Luna-Ortiz, Kuauhyama, Villavicencio-Valencia, Verónica, Herrera Gómez, Angel, Téllez-Palacios, Daniela, Contreras-Buendía, Marlen
• Format: Journal Article
• Language: Spanish
• Published: Mexico 01.09.2012
• Subjects: Aged; Aged, 80 and over; Antineoplastic Agents, Alkylating - therapeutic use; Carcinoma - pathology; Carcinoma - radiotherapy; Carcinoma - surgery; Carcinoma - therapy; Chemoradiotherapy; Cisplatin - therapeutic use; Combined Modality Therapy; Female; Humans; Hypothyroidism - blood; Hypothyroidism - epidemiology; Hypothyroidism - etiology; Laryngeal Neoplasms - pathology; Laryngeal Neoplasms - radiotherapy; Laryngeal Neoplasms - surgery; Laryngeal Neoplasms - therapy; Male; Middle Aged; Neoplasm Staging; Postoperative Complications - blood; Postoperative Complications - epidemiology; Postoperative Complications - etiology; Prospective Studies; Radiation Injuries - epidemiology; Radiation Injuries - etiology; Radiotherapy - adverse effects; Thyroid Gland - radiation effects; Thyroidectomy; Thyrotropin - blood; Thyroxine - blood
• ISSN: 2444-054X

Hypothyroidism following total laryngectomy or radiotherapy treatment for laryngeal cancer is not a rare event, especially in advanced stages. There are no reports on the incidence of hypothyroidism in patients who received chemotherapy and radiotherapy. The objective of this study is to determine the incidence of thyroid dysfunction in a group of patients with laryngeal cancer who underwent surgery as sole treatment, total laryngectomy or radiotherapy alone, and patients with combined treatment: surgery plus radiotherapy, concomitant chemoradiation therapy and chemoradiation therapy plus salvage surgery. A prospective study of patients diagnosed with laryngeal cancer whose serum TSH and T4 levels were evaluated in a serial fashion. 70 patients with laryngeal cancer were studied; the average age at diagnosis was 70.2 years. Male patients were more affected, with a men-women ratio of 3.6:1. Glottic localization was the most frequent (44%). 64% of tumors were locally advanced carcinomas and 51% received multimodal treatment. 45 patients (63%) were diagnosed with hypothyroidism; 49% of the patients with subclinical hypothyroidism, and 51% with clinical hypothyroidism. Hypothyroidism is a complication following treatment for laryngeal cancer. It is recommended to evaluate the thyroid function periodically for timely detection.