Advertisement

European Archives of Oto-Rhino-Laryngology

, Volume 259, Issue 4, pp 193–196 | Cite as

Hypothyroidism in patients treated with total laryngectomy. A multivariate study

  • X. Lóon
  • Juan Ramón Gras
  • Antonio Pérez
  • José Rodríguez
  • Luis de Andrés
  • César Orús
  • Miquel Quer
Oncology

Abstract

One of the complications of the treatment of head and neck carcinoma patients is hypothyroidism. The objective of our study was to quantify the prevalence of hypothyroidism in patients with laryngeal or hypopharyngeal cancer treated with a total laryngectomy and to evaluate the importance of different variables in the appearance of hypothyroidism in this group of patients. A transversal study in 182 patients treated with total laryngectomy between 1986 and 1998 was carried out. TSH and FT4 were determined in all patients. Hypothyroidism was classified as subclinical (increased TSH and normal T4 levels) and clinical (increased TSH and decreased T4 levels). Univariate and multivariate analysis was carried out to examine the relationship between hypothyroidism and different variables. Our results showed that the prevalence of hypothyroidism in our group of patients was 52% (27% subclinical and 25% clinical). Sex, initial extension of the tumour, hemithyroidectomy, use of chemotherapy and radiotherapy were variables associated with the appearance of hypothyroidism in the univariate analysis (P < 0.05). When all these variables were included in a multivariate study, only hemithyroidectomy (RR 3,6; CI 95% 1,7–7,2) and combined treatment with radiotherapy (RR 3,4; CI 95% 1,2–9,6) appeared as prognostic factors. In conclusion, hypothyroidism is a frequent complication in patients treated with a total laryngectomy (52%), especially when this treatment includes hemithyroidectomy and/or radiotherapy. We consider that it is important to check the thyroid function periodically in these patients to obtain early diagnosis and appropriate treatment.

Keywords Hypothyroidism Laryngeal carcinoma Total laryngectomy 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Copyright information

© Springer-Verlag Berlin Heidelberg 2002

Authors and Affiliations

  • X. Lóon
    • 1
  • Juan Ramón Gras
    • 1
  • Antonio Pérez
    • 2
  • José Rodríguez
    • 3
  • Luis de Andrés
    • 4
  • César Orús
    • 1
  • Miquel Quer
    • 1
  1. 1.Department of Otolaryngology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Avda. San Antoni Ma Claret, 167, 08025 Barcelona, Spain e-mail: xleon@hsp.santpau.es Tel.: +34-93-2919159, Fax: +34-93-2919277ES
  2. 2.Department of Endocrinology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, SpainES
  3. 3.Department of Biochemistry, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, SpainES
  4. 4.Department of Oncology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, SpainES

Personalised recommendations