European Laryngological Society consensus statement on optimal monitoring schedules after treatment for early glottic cancer: a risk-stratification
Early glottic cancer has an excellent prognosis provided that recurrences are detected in a timely manner. However, current guidelines lack specific recommendations for intervals or interventions during follow-up, and primarily advocate surveillance in the most advanced stages where the benefits are actually the lowest. This consensus statement introduces a risk-stratification-guided follow-up schedule for T1-T2N0 patients, aiming to optimize oncologic and functional outcomes while ensuring early detection of residual or recurrent disease to preserve organ function. Separate protocols are outlined for surgical and non-surgical patients, including endoscopic examination, radiological imaging, and thyroid function screening. Also, the pathway to reach this routine observation phase is described, specifying the criteria and timing of a second-look microlaryngoscopy.
Authors
- Cesare Piazza (ORCID: https://orcid.org/0000-0002-2391-9357)
- Berit M. Verbist (ORCID: https://orcid.org/0000-0002-1010-2583)
- Giovanni Succo (ORCID: https://orcid.org/0000-0003-0375-6623)
- Małgorzata Wierzbicka (ORCID: https://orcid.org/0000-0003-0006-6352)
- Martine Hendriksma (ORCID: https://orcid.org/0000-0001-5254-8842)
- Elisabeth V. Sjögren (ORCID: https://orcid.org/0000-0001-7990-8510)
- Ricard Simó (ORCID: https://orcid.org/0000-0002-5410-1566)
- Davide Farina (ORCID: https://orcid.org/0000-0003-4075-0001)
- Marco Lionello (ORCID: https://orcid.org/0000-0002-2454-9618)
- Marc Remacle (ORCID: https://orcid.org/0000-0003-2525-3154)
- Andy Bertolin
- Agatha Baidun
Institutions
- Wrocław University of Science and Technology (PL)
- Centre Hospitalier de Luxembourg (LU)
- Guy's and St Thomas' NHS Foundation Trust (GB)
- Leiden University Medical Center (NL)
- Surgical Specialties (Canada) (CA)
- Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (IT)
- Ospedale San Giovanni Bosco (IT)
- Institute of Plant Genetics, Polish Academy of Sciences (PL)
- Ospedale Civile di Vittorio Veneto (IT)
- AGH University of Krakow (PL)
- University of Brescia (IT)
Publication Details
- Journal
- European Archives of Oto-Rhino-Laryngology
- Published
- 2025-08-04
- DOI
- https://doi.org/10.1007/s00405-025-09609-0
- Primary Topic
- Head and Neck Cancer Studies
- Type
- article
- Field-Weighted Citation Impact
- 0.00