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Value of postoperative radiotherapy in patients with pathologic N1 neck disease
Head & neck, 2008-07, Vol.30 (7), p.875-882
Jäckel, Martin C.
Ambrosch, Petra
Christiansen, Hans
Martin, Alexios
Steiner, Wolfgang
2008
Details
Autor(en) / Beteiligte
Jäckel, Martin C.
Ambrosch, Petra
Christiansen, Hans
Martin, Alexios
Steiner, Wolfgang
Titel
Value of postoperative radiotherapy in patients with pathologic N1 neck disease
Ist Teil von
Head & neck, 2008-07, Vol.30 (7), p.875-882
Ort / Verlag
Hoboken: Wiley Subscription Services, Inc., A Wiley Company
Erscheinungsjahr
2008
Link zum Volltext
Quelle
Wiley-Blackwell Full Collection
Beschreibungen/Notizen
Background The aim of this study was to assess the efficacy of postoperative radiotherapy for the treatment of patients with pathologic N1 neck disease. Methods One hundred eighteen consecutive patients with upper aerodigestive tract cancer who were initially treated with curative surgery between 1986 and 2002 and had pN1 disease without extracapsular spread were reviewed. Postoperative radiotherapy was given to 46 patients. Results Eight isolated regional recurrences were observed, 3 of which occurred in contralateral undissected necks. Seven of the 72 patients treated with surgery alone and 1 of the 46 who received postoperative radiotherapy were affected. The respective 3‐year neck recurrence rates amounted to 11.2% and 2.9% (p = .0921). A survival benefit of irradiated patients could not be established. Conclusions The data confirm a trend toward improved regional control of pN1 disease if postoperative radiotherapy is applied. However, as a survival benefit is uncertain, use of radiation treatment cannot be recommended generally, but requires individual decisions. © 2008 Wiley Periodicals, Inc. Head Neck, 2008
Sprache
Englisch
Identifikatoren
ISSN: 1043-3074
eISSN: 1097-0347
DOI: 10.1002/hed.20794
Titel-ID: cdi_crossref_primary_10_1002_hed_20794
Format
–
Schlagworte
adjuvant radiotherapy
,
Adult
,
Aged
,
Aged, 80 and over
,
Biological and medical sciences
,
Carcinoma, Squamous Cell - mortality
,
Carcinoma, Squamous Cell - pathology
,
Carcinoma, Squamous Cell - radiotherapy
,
Carcinoma, Squamous Cell - surgery
,
Chi-Square Distribution
,
Cohort Studies
,
Dose-Response Relationship, Radiation
,
Evaluation Studies as Topic
,
Female
,
Head and Neck Neoplasms - mortality
,
Head and Neck Neoplasms - pathology
,
Head and Neck Neoplasms - radiotherapy
,
Head and Neck Neoplasms - surgery
,
Hematologic and hematopoietic diseases
,
Humans
,
Immunohistochemistry
,
Kaplan-Meier Estimate
,
laser surgery
,
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
,
lymphatic metastasis
,
Male
,
Medical sciences
,
Middle Aged
,
Neck Dissection
,
Neoplasm Invasiveness - pathology
,
Neoplasm Recurrence, Local - mortality
,
Neoplasm Recurrence, Local - pathology
,
Neoplasm Staging
,
Otorhinolaryngology. Stomatology
,
Postoperative Care - methods
,
Probability
,
Prognosis
,
Radiotherapy Dosage
,
Radiotherapy, Adjuvant
,
recurrence
,
Retrospective Studies
,
Risk Assessment
,
Survival Analysis
,
Treatment Outcome
,
upper aerodigestive tract neoplasms
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