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Surgery  and/or radiation therapy. Salvage is possible for failures of surgery alone or of radiation therapy alone, and further surgery  and/or radiation therapy should be attempted, as indicated. Selected patients may be candidates for partial laryngectomy after high-dose radiation therapy has failed.
Radiation therapy. Re-irradiation for laryngeal salvage following radiation therapy failure has resulted in long-term survival in a small number of patients; it may be considered for small recurrences after radiation therapy, especially in patients who refuse or are not candidates for laryngectomy.
Chemotherapy. A response of variable duration may be achieved after systemic chemotherapy.
Salvage after previous combined total laryngectomy and radiation therapy is poor.
Treatment options under clinical evaluation:
Patients whose disease does not respond to combined radiation therapy and surgery probably are best treated by palliative chemotherapy in clinical trials.
Current Clinical Trials
Check for U.S. clinical trials from NCI's list of cancer clinical trials that are now accepting patients with recurrent laryngeal cancer. The list of clinical trials can be further narrowed by location, drug, intervention, and other criteria.
General information about clinical trials is also available from the NCI Web site.
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September 04, 2014
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