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Prognostic factors in carcinoma of the larynx: relevance of DNA ploidy, S-fractions and localization of the tumour

Published online by Cambridge University Press:  29 June 2007

Davorin Đanić*
Affiliation:
Department of Otolaryngology, General Hospital ‘Dr. Josip Benčević, 35 000 Slavonski Brod, Croatia.
Damir Miličić
Affiliation:
Department of Otolaryngology, General Hospital ‘Dr. Josip Benčević, 35 000 Slavonski Brod, Croatia.
Drago Prgomet
Affiliation:
Department of Otolaryngology, General Hospital ‘Dr. Josip Benčević, 35 000 Slavonski Brod, Croatia.
Dinko Leović
Affiliation:
Department of Otolaryngology, General Hospital ‘Dr. Josip Benčević, 35 000 Slavonski Brod, Croatia.
*
Address for correspondence: Davorin Đanić, ENT Department, General Hospital ‘Dr Josip Benčević’, 35 000 Slavonski Brod, Croatia. Fax: 00385-35-446121 e-mail: opbolsb@alf.tel.hr

Abstract

The influence of the cell cycle profile and the site of the primary tumour on the overall survival were examined in 36 patients with squamous cell carcinoma of the larynx. DNA ploidy (p = 0.0091), the overall proliferative activity (p = 0.0001), the overall proliferative activity of diploid tumour cells (p = 0.0017) and primary tumour site (p = 0.0008) were found to be significant single prognostic factors of the overall survival. Multivariate analysis showed that only the overall proliferative activity was prognostically significant (p = 0.013). The results of the study show that the supraglottic site of the tumours correlates significantly with DNA ploidy (p = 0.0334) and the overall proliferative activity of tumour cells (p = 0.0159), whereas the correlation with proliferative activity of diploid tumour cells (p = 0.1416) has not been confirmed by this study. Glottic tumours showed a prognostically significant correlation with the overall proliferative activity (p = 0.0037) and proliferative activity of diploid tumour (p = 0.0054). Such a prognostic correlation was not found for DNA ploidy (p = 0.6542).

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1999

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