scholarly journals Prognostic factors after transoral resection of early hypopharyngeal cancer

Author(s):  
Keisuke Iritani ◽  
Daryl Anne A. Mundo ◽  
Shinobu Iwaki ◽  
Kuriko Masuda ◽  
Maki Kanzawa ◽  
...  
2007 ◽  
Vol 122 (5) ◽  
pp. 506-512 ◽  
Author(s):  
S-W Chen ◽  
M-H Tsai ◽  
S-N Yang ◽  
J-A Liang ◽  
A-C Shiau ◽  
...  

AbstractAims:To investigate prognostic factors for survival and locoregional control in patients with stage I–IVA hypopharyngeal cancer treated with laryngeal preservation radiotherapy.Methods:This study was a retrospective analysis of 108 patients with stage I–IVA squamous cell carcinoma of the hypopharynx, treated with laryngeal preservation radiotherapy. Actuarial survival, disease-specific survival and local relapse-free survival were calculated, and multivariate analyses were performed using Cox's proportional hazards model.Results:After a median follow-up duration of 39 months, the five-year local relapse-free survival rate was 35 per cent for all patients, 66 per cent for those with stage I–II disease, 46 per cent for those with stage III disease and 20 per cent for those with stage IVA disease (p = 0.004). Multivariate analyses showed that tumour and node stages were independent prognostic factors.Conclusions:Patients with stage I–II disease were suitable for laryngeal preservation radiotherapy. For most patients with stage III–IVA disease, other than those who were T1 N1 or T2 N1, the treatment results were poor.


2005 ◽  
Vol 117 (6) ◽  
pp. 992-995 ◽  
Author(s):  
Rajesh P. Dikshit ◽  
Paolo Boffetta ◽  
Christine Bouchardy ◽  
Franco Merletti ◽  
Paolo Crosignani ◽  
...  

2012 ◽  
Vol 2012 ◽  
pp. 1-10 ◽  
Author(s):  
Volker Rudat ◽  
Salia Ahmet-Osman ◽  
Oliver Schramm ◽  
Andreas Dietz

Purpose. To compare the impact of prognostic factors of patients treated with definitive radio(chemo)therapy versus patients treated with surgery and postoperative radiotherapy for squamous cell carcinoma of the oro- and hypopharynx.Patients and Methods. 162 patients treated with definitive radiotherapy and 126 patients treated with postoperative radiotherapy were retrospectively analysed. The impact of the prognostic factors gender, age, total tumor volume (TTV), pre-radiotherapy hemoglobin level (Hb-level), tumor site, T- and N-classification, radiotherapy interruptions >5 days, radiotherapy versus simultaneous radiochemotherapy, R-status and time interval between surgery and radiotherapy were investigated.Results. The median follow-up time for the censored patients treated with definitive radio(chemo)therapy was 28.5 months and for postoperative radiotherapy 36.5 months. On univariate analysis, the TTV, Hb-level, and simultaneous radiochemotherapy had a significant impact on the survival of patients treated with definitive radio(chemo)therapy. For patients treated with postoperative radiotherapy, only the TTV showed a statistical trend for the survival (P=0.13). On multivariate analysis, the TTV and simultaneous radiochemotherapy maintained their statistical significance for patients treated with definitive raditherapy, and the TTV, the statistical trend for patients treated with postoperative radiotherapy (P=0.19).Conclusions. The TTV was the predominant prognostic factor for both, patients treated with definitive or postoperative radiotherapy.


Author(s):  
Somvilai Chakrabandhu ◽  
Walaithip Bunyatisai ◽  
Patumrat Sripan ◽  
Patrinee Traisathit ◽  
Imjai Chitapanarux

Abstract Aim: To report 5- and 10-year overall survival (OS) outcomes of squamous cell carcinoma of the head and neck and identify prognostic factors. Methods: Data on 2,095 patients at Maharaj Nakorn Chiang Mai Hospital, Thailand between 2007 and 2014 were analysed using the Kaplan–Meyer method to estimate 5- and 10-year OS rates. Cox proportional hazard regression models were applied to assess the independent prognostic factors of survival. Results: 8·7% had hypopharyngeal cancer, 19·7% laryngeal, 53·3% oral cavity and 18·3% oropharyngeal. Two-thirds of the patients had locally advanced stage (III–IVB). Five- and ten-year OS rates were 30·1 and 22·8%, respectively. Conclusions: Cancer site, stage and age at diagnosis were associated with mortality, highlighting the importance of prevention and early detection.


2008 ◽  
Vol 128 (1) ◽  
pp. 103-109 ◽  
Author(s):  
Moon-Sing Lee ◽  
Hsu-Chueh Ho ◽  
Shih-Hsuan Hsiao ◽  
Juen-Haur Hwang ◽  
Ching-Chih Lee ◽  
...  

2016 ◽  
Vol 136 (8) ◽  
pp. 834-840
Author(s):  
Naohiro Wakisaka ◽  
Nobuyuki Hirai ◽  
Satoru Kondo ◽  
Mitsuharu Aga ◽  
Yosuke Nakanishi ◽  
...  

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