Positive Margin Rate Following Transoral Surgery in T2-T3 Laryngeal Carcinoma - a Systematic Review and Meta-Analysis.
Sebastiaan W R Dalmeijer, Agatha S Baidun, Elisabeth V Sjogren et al.
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In 30 seconds
This systematic review and meta-analysis evaluated the positive margin rate following transoral endoscopic surgery in 3,281 patients with T2-T3 laryngeal carcinoma. The overall positive margin rate was found to be 22.0% (95% CI 17.6 - 27.3). The study also assessed the impact of margin status on oncological outcomes, revealing mixed results across the included studies.
Key findings
- The positive margin rate for T2-T3 laryngeal carcinoma was 22.0%.
- Stratified positive margin rates were 22.4% for T2 tumors and 30.8% for T3 tumors.
- Three out of eight studies indicated a significant association between positive margins and worse oncological outcomes.
Why it matters
Understanding the positive margin rate in transoral endoscopic surgery for laryngeal carcinoma is crucial, as it may influence treatment decisions and patient prognostication. Clinicians should be aware of the potential implications of margin status on oncological outcomes.