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Salivary duct carcinoma: Treatment, outcomes, and patterns of failure
Head & neck, 2016-04, Vol.38 (S1), p.E820-E826
Johnston, Meredith L.
Huang, Shao Hui
Waldron, John N.
Atenafu, Eshetu G.
Chan, Kelvin
Cummings, Bernard J.
Gilbert, Ralph W.
Goldstein, David
Gullane, Patrick J.
Irish, Jonathan C.
Perez-Ordonez, Bayardo
Weinreb, Ilan
Bayley, Andrew
Cho, John
Dawson, Laura A.
Hope, Andrew
Ringash, Jolie
Witterick, Ian J.
O'Sullivan, Brian
Kim, John
2016
Details
Autor(en) / Beteiligte
Johnston, Meredith L.
Huang, Shao Hui
Waldron, John N.
Atenafu, Eshetu G.
Chan, Kelvin
Cummings, Bernard J.
Gilbert, Ralph W.
Goldstein, David
Gullane, Patrick J.
Irish, Jonathan C.
Perez-Ordonez, Bayardo
Weinreb, Ilan
Bayley, Andrew
Cho, John
Dawson, Laura A.
Hope, Andrew
Ringash, Jolie
Witterick, Ian J.
O'Sullivan, Brian
Kim, John
Titel
Salivary duct carcinoma: Treatment, outcomes, and patterns of failure
Ist Teil von
Head & neck, 2016-04, Vol.38 (S1), p.E820-E826
Ort / Verlag
United States: Blackwell Publishing Ltd
Erscheinungsjahr
2016
Link zum Volltext
Quelle
Wiley Online Library - AutoHoldings Journals
Beschreibungen/Notizen
Background Salivary duct carcinoma is rare, with distinct morphology and behavior. We reviewed our institutional experience with salivary duct carcinoma, aiming to characterize clinical behavior and treatment outcomes. Methods All salivary duct carcinomas treated curatively between 1999 and 2010 were reviewed. Overall survival (OS), locoregional control, distant control, and patterns of failure were analyzed. Multivariate analysis identified predictors of OS. Results Fifty‐four patients with salivary duct carcinoma (parotid gland = 49; submandibular gland = 5) were included in the analysis. Fifty‐three patients underwent primary surgery, and 48 (89%) received postoperative radiotherapy (RT; median dose = 60 Gy). Median follow‐up was 5.7 years. The 5‐year OS, locoregional control, and distant control were 43%, 70%, and 48%, respectively. Nine local (6 involving facial nerve), 10 regional, and 28 distant failures were identified. Multiple pathologic involved lymph nodes (pN2b/N2c) predicted reduced OS (hazard ratio [HR] = 3.6; p = .02). Conclusion Distant recurrence is common. Presence of pN2b/N2c disease is associated with reduced OS. Local recurrence frequently involves the facial nerves. © 2015 Wiley Periodicals, Inc. Head Neck 38: E820–E826, 2016
Sprache
Englisch
Identifikatoren
ISSN: 1043-3074
eISSN: 1097-0347
DOI: 10.1002/hed.24107
Titel-ID: cdi_proquest_miscellaneous_1784745593
Format
–
Schlagworte
Adult
,
Aged
,
Aged, 80 and over
,
Female
,
head and neck
,
Humans
,
Male
,
Middle Aged
,
Neoplasm Recurrence, Local - pathology
,
Parotid Gland - pathology
,
pattern of failure
,
radiotherapy
,
Retrospective Studies
,
salivary duct carcinoma
,
Salivary Ducts - pathology
,
Salivary Gland Neoplasms - pathology
,
Salivary Gland Neoplasms - therapy
,
Submandibular Gland - pathology
,
surgery
,
Treatment Failure
,
Treatment Outcome
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