[Spread channels of anterior commissure cancer: clinico-pathological study and surgical implications].

Unlabelled: The aim of the present study is to describe the spread channels of the anterior commisure cancer, its clinical significance and its surgical implications.

Patients And Methods: A prospective study was performed at the ENT Department of the Complutense University in about 31 patients with anterior commisure carcinoma wo underwent surgery between 1994/97. Specimens were processes with Whole-Organ Serial Sections.

Results: Patients were differenciated into two groups: 1) Patients with glottic tumors, with a good cord mobility and no invasive tumor in commisure region (18 patients); In these patients, conservative surgery was possible; 2) Another group (13 patients) with aggressive lesions (80% with cartilage involvement), vocal cord fixation and transglottic lesions. In these group, conservative surgery was contraindicated.

Conclusions: This report emphasizes the importance of laryngoscopy in surgical technique of anterior commisure cancer.