論文

査読有り 国際誌
2020年3月9日

Comparison of salvage surgery for recurrent or residual head and neck squamous cell carcinoma.

Japanese journal of clinical oncology
  • Takashi Maruo
  • ,
  • Sadamoto Zenda
  • ,
  • Takeshi Shinozaki
  • ,
  • Toshifumi Tomioka
  • ,
  • Wataru Okano
  • ,
  • Minoru Sakuraba
  • ,
  • Makoto Tahara
  • ,
  • Ryuichi Hayashi

50
3
開始ページ
288
終了ページ
295
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1093/jjco/hyz176

OBJECTIVE: Concomitant chemoradiation therapy is a standard treatment for head and neck cancer. Thus, salvage surgery has become a necessary treatment. The aim of the study was to evaluate the results of salvage surgery by each site of the head and neck, especially the oropharynx, hypopharynx and larynx. METHODS: This was a retrospective, single-institute study. The primary endpoint was overall survival. Secondary endpoints were disease-free survival, the locoregional control rate after salvage surgery, the indication rate for salvage surgery, the reasons for contraindications to salvage surgery, the post-operative complication rate and the predictors of survival. RESULTS: Three-year overall survival after salvage surgery was 58.8% in the salvage surgery group and 8.59% in the other treatment group (P < 0.0001). Regarding overall survival and disease-free survival after salvage surgery, there was no difference among sites. Regarding locoregional control rate among sites, there was no significant difference. The oropharyngeal cancer group had the lowest rate of salvage primary resection. Surgical margin and local and regional recurrence or residual disease were predictors on univariate and multivariate analyses. CONCLUSIONS: Salvage surgery is effective for recurrent or residual cases after concomitant chemoradiation therapy. For oropharyngeal cancer, local control is important, and for oropharyngeal cancer and hypopharyngeal cancer, distant metastasis is important.

リンク情報
DOI
https://doi.org/10.1093/jjco/hyz176
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/31845736

エクスポート
BibTeX RIS