Head & Neck Institute Outcomes

Head and Neck Surgery and Oncology

Clinical Versus Pathologic Laryngeal Cancer Staging and the Impact of Stage Change on Outcomes

2001-2017

Recurrence-Free Survival After Laryngectomy by Stage Change (N = 265)

2001-2017

Stage Change	1 Year	2 Years	3 Years	4 Years	5 Years	6 Years	7 Years	8 Years	9 Years	10 Years
Downstage (N = 28)	20	15	13	12	10	10	5	2	1	1
No Change (N = 173)	103	78	66	53	39	24	19	14	9	8
Upstage (N = 64)	39	25	18	13	13	11	10	5	2	2

Recurrence-Free Survival After Primary Laryngectomy by Stage Change (N = 124)

2001-2017

Stage Change	1 Year	2 Years	3 Years	4 Years	5 Years	6 Years	7 Years	8 Years	9 Years	10 Years
Downstage (N = 21)	15	11	11	10	8	8	4	2	1	1
No Change (N = 65)	39	27	23	18	13	8	7	5	3	3
Upstage (N = 38)	24	16	10	6	6	5	4	1	0	0

Recurrence-Free Survival After Salvage Laryngectomy by Stage Change

2001-2017

Stage Change	1 Year	2 Years	3 Years	4 Years	5 Years	6 Years	7 Years	8 Years	9 Years	10 Years
Downstage (N = 7)	5	4	2	2	2	2	1	0	0	0
No Change (N = 108)	64	51	43	35	26	16	12	9	6	5
Upstage (N = 26)	15	9	8	7	7	6	6	4	2	2

Overall Survival After Laryngectomy by Stage Change (N = 265)

2001-2017

Stage Change	1 Year	2 Years	3 Years	4 Years	5 Years	6 Years	7 Years	8 Years	9 Years	10 Years
Downstage (N = 28)	22	18	17	14	13	11	7	5	3	2
No Change (N = 173)	135	93	81	65	46	30	22	17	13	11
Upstage (N = 64)	45	33	23	17	15	12	12	8	4	3