The role of postoperative radiotherapy or chemoradiation in pT1-2N1M0 oral squamous cell carcinoma

Copyright © 2024 Formosan Medical Association. Published by Elsevier B.V. All rights reserved..

BACKGROUND: Postoperative radiotherapy (PORT) and concurrent chemoradiation (CCRT) are indicated for patients with advanced oral cancer. However, the benefits for pT1-2N1 disease without adverse pathological features are controversial.

METHODS: This retrospective study using the Taiwan Cancer Registry database included patients with pT1-2N1 oral cancer from January 1, 2011, to December 31, 2017. Overall survival was analyzed in patients receiving surgery alone, PORT, or CCRT.

RESULTS: Among the 862 patients, the five-year overall survival rate in patients receiving surgery alone, PORT, and CCRT was 62.2%, 58.7%, and 71.1% (P = 0.03), respectively. CCRT was associated with longer survival than PORT (P = 0.008). Survival in patients with pT2 disease was significantly higher with CCRT than PORT (P = 0.001), but no difference was observed in pT1 disease.

CONCLUSION: CCRT demonstrated a favorable impact on survival outcomes in patients diagnosed with pT2N1 oral cancer when compared to PORT. However, no significant survival benefits were observed for patients with pT1 disease.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Journal of the Formosan Medical Association = Taiwan yi zhi - (2024) vom: 21. März

Sprache:

Englisch

Beteiligte Personen:

Chang, Chan-Chi [VerfasserIn]
Wu, Yin-Ting [VerfasserIn]
Lu, Hsi-Huei [VerfasserIn]
Cheng, Yung-Jen [VerfasserIn]
Tsai, Mu-Hung [VerfasserIn]

Links:

Volltext

Themen:

Chemotherapy
Journal Article
Oral cavity
Radiation therapy

Anmerkungen:

Date Revised 21.03.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1016/j.jfma.2024.03.005

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370039459