Is there a role for postoperative radiotherapy following open partial laryngectomy when prognostic factors on the pathological specimen are unfavourable? A survey of head and neck surgical/radiation oncologists
Identifieur interne : 003529 ( Main/Exploration ); précédent : 003528; suivant : 003530Is there a role for postoperative radiotherapy following open partial laryngectomy when prognostic factors on the pathological specimen are unfavourable? A survey of head and neck surgical/radiation oncologists
Auteurs : E. G. Russi [Italie] ; G. Sanguineti ; F. Chiesa [Italie] ; P. Franco [Italie] ; G. Succo [Italie] ; A. Merlotti [Italie] ; M. Ansarin [Italie] ; A. Melano [Italie] ; D. Alterio [Italie] ; S. Pergolizzi [Italie] ; M. Buglione [Italie] ; A. Reali [Italie] ; U. Ricardi [Italie] ; R. Corv [Italie]Source :
- Acta Otorhinolaryngologica Italica [ 0392-100X ] ; 2013.
Abstract
Our aim was to survey the opinions of Italian radiation and ENT oncologists regarding the role of postoperative radiotherapy (PRT) and the appropriate dose to be given to patients with remnant larynx (RL) after open partial laryngectomy (OPL). The radio-oncologists (RO s) of the Italian Radiation-Oncologist Association (AIRO ) and the ENTs of the Head-Neck Oncology Society (AIOCC-IHNS) were contacted through a SurveyMonkey online interface questionnaire. There were 148 usable responses. The majority of RO s recommended PRT in the case of positive/close margins (R(+)/Rclose) or in the case of initial involvement of thyroid cartilage (pT3tci). In the same cases, ENTs prefer a "watch and wait" policy (w&w). Both disciplines recommended w&w in the case of negative margins (R(-)). Finally, the majority of RO s recommended irradiating RL with 62-66 Gy in R(+), with 56-66 Gy (61.4%) in Rclose and with 56-60 Gy (34%) in pT3tci. In Conclusion, OPL raises new considerations about PRT.
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PubMed: 24227896
PubMed Central: 3825044
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Is there a role for postoperative radiotherapy following open partial laryngectomy when prognostic factors on the pathological specimen are unfavourable? A survey of head and neck surgical/radiation oncologists</title><author><name sortKey="Russi, E G" sort="Russi, E G" uniqKey="Russi E" first="E. G." last="Russi">E. G. Russi</name><affiliation wicri:level="1"><nlm:aff id="A1"> Radiation Oncology Department, AO "S. Croce e Carle", Cuneo, Italy;</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> Radiation Oncology Department, AO "S. Croce e Carle", Cuneo</wicri:regionArea><wicri:noRegion>Cuneo</wicri:noRegion></affiliation></author><author><name sortKey="Sanguineti, G" sort="Sanguineti, G" uniqKey="Sanguineti G" first="G." last="Sanguineti">G. Sanguineti</name><affiliation><nlm:aff id="A2"> Department of Radiation Oncology, Ospedale "Sacro Cuore-Don Calabria", Negrar, VR;</nlm:aff><wicri:noCountry code="subfield">VR</wicri:noCountry></affiliation></author><author><name sortKey="Chiesa, F" sort="Chiesa, F" uniqKey="Chiesa F" first="F." last="Chiesa">F. Chiesa</name><affiliation wicri:level="1"><nlm:aff id="A3"> Head and Neck Surgery, European Institute of Oncology, Milano, Italy;</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> Head and Neck Surgery, European Institute of Oncology, Milano</wicri:regionArea><wicri:noRegion>Milano</wicri:noRegion></affiliation></author><author><name sortKey="Franco, P" sort="Franco, P" uniqKey="Franco P" first="P." last="Franco">P. Franco</name><affiliation wicri:level="1"><nlm:aff id="A4"> Radiation Oncology Department, Tomotherapy Unit, Ospedale Regionale "U. 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Merlotti</name><affiliation wicri:level="1"><nlm:aff id="A6"> Radiation Oncology Department, AO Saronno-Busto Arsizio, Italy;</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> Radiation Oncology Department, AO Saronno-Busto Arsizio</wicri:regionArea><wicri:noRegion>AO Saronno-Busto Arsizio</wicri:noRegion></affiliation></author><author><name sortKey="Ansarin, M" sort="Ansarin, M" uniqKey="Ansarin M" first="M." last="Ansarin">M. Ansarin</name><affiliation wicri:level="1"><nlm:aff id="A7"> European Institute of Oncology, Milano, Italy;</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> European Institute of Oncology, Milano</wicri:regionArea><wicri:noRegion>Milano</wicri:noRegion></affiliation></author><author><name sortKey="Melano, A" sort="Melano, A" uniqKey="Melano A" first="A." last="Melano">A. Melano</name><affiliation wicri:level="1"><nlm:aff id="A1"> Radiation Oncology Department, AO "S. Croce e Carle", Cuneo, Italy;</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> Radiation Oncology Department, AO "S. Croce e Carle", Cuneo</wicri:regionArea><wicri:noRegion>Cuneo</wicri:noRegion></affiliation></author><author><name sortKey="Alterio, D" sort="Alterio, D" uniqKey="Alterio D" first="D." last="Alterio">D. Alterio</name><affiliation wicri:level="3"><nlm:aff id="A8"> Division of Radiation Oncology, European Institute of Oncology, Milan, Italy;</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> Division of Radiation Oncology, European Institute of Oncology, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Pergolizzi, S" sort="Pergolizzi, S" uniqKey="Pergolizzi S" first="S." last="Pergolizzi">S. Pergolizzi</name><affiliation wicri:level="1"><nlm:aff id="A9"> Department of Radiation Oncology, University of Messina, Italy;</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> Department of Radiation Oncology, University of Messina</wicri:regionArea><wicri:noRegion>University of Messina</wicri:noRegion></affiliation></author><author><name sortKey="Buglione, M" sort="Buglione, M" uniqKey="Buglione M" first="M." last="Buglione">M. Buglione</name><affiliation wicri:level="1"><nlm:aff id="A10"> Radiation Oncology Department, Unit of University of Brescia, Italy;</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> Radiation Oncology Department, Unit of University of Brescia</wicri:regionArea><wicri:noRegion>Unit of University of Brescia</wicri:noRegion></affiliation></author><author><name sortKey="Reali, A" sort="Reali, A" uniqKey="Reali A" first="A." last="Reali">A. Reali</name><affiliation wicri:level="1"><nlm:aff id="A11"> Unit of University of Torino, Ospedale "S. Luigi Gonzaga", Orbassano, Italy;</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> Unit of University of Torino, Ospedale "S. Luigi Gonzaga", Orbassano</wicri:regionArea><wicri:noRegion>Orbassano</wicri:noRegion></affiliation></author><author><name sortKey="Ricardi, U" sort="Ricardi, U" uniqKey="Ricardi U" first="U." last="Ricardi">U. Ricardi</name><affiliation wicri:level="3"><nlm:aff id="A12"> Radiation Oncology Unit, Department of Medical and Surgical Sciences, University of Torino, "S. Giovanni Battista" Hospital, Torino, Italy;</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> Radiation Oncology Unit, Department of Medical and Surgical Sciences, University of Torino, "S. Giovanni Battista" Hospital, Torino</wicri:regionArea><placeName><settlement type="city">Turin</settlement><region type="région" nuts="2">Piémont</region></placeName></affiliation></author><author><name sortKey="Corv, R" sort="Corv, R" uniqKey="Corv R" first="R." last="Corv">R. Corv</name><affiliation wicri:level="1"><nlm:aff id="A13"> Department of Radiation Oncology, University of Genova and IRCCS "San Martino-National Cancer Research Institute", Genova, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> Department of Radiation Oncology, University of Genova and IRCCS "San Martino-National Cancer Research Institute", Genova</wicri:regionArea><wicri:noRegion>Genova</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24227896</idno><idno type="pmc">3825044</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3825044</idno><idno type="RBID">PMC:3825044</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">004902</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">004902</idno><idno type="wicri:Area/Pmc/Curation">004901</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">004901</idno><idno type="wicri:Area/Pmc/Checkpoint">002248</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002248</idno><idno type="wicri:Area/Ncbi/Merge">005F32</idno><idno type="wicri:Area/Ncbi/Curation">005F32</idno><idno type="wicri:Area/Ncbi/Checkpoint">005F32</idno><idno type="wicri:doubleKey">0392-100X:2013:Russi E:is:there:a</idno><idno type="wicri:Area/Main/Merge">003535</idno><idno type="wicri:Area/Main/Curation">003529</idno><idno type="wicri:Area/Main/Exploration">003529</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Is there a role for postoperative radiotherapy following open partial laryngectomy when prognostic factors on the pathological specimen are unfavourable? A survey of head and neck surgical/radiation oncologists</title><author><name sortKey="Russi, E G" sort="Russi, E G" uniqKey="Russi E" first="E. G." last="Russi">E. G. Russi</name><affiliation wicri:level="1"><nlm:aff id="A1"> Radiation Oncology Department, AO "S. Croce e Carle", Cuneo, Italy;</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> Radiation Oncology Department, AO "S. Croce e Carle", Cuneo</wicri:regionArea><wicri:noRegion>Cuneo</wicri:noRegion></affiliation></author><author><name sortKey="Sanguineti, G" sort="Sanguineti, G" uniqKey="Sanguineti G" first="G." last="Sanguineti">G. Sanguineti</name><affiliation><nlm:aff id="A2"> Department of Radiation Oncology, Ospedale "Sacro Cuore-Don Calabria", Negrar, VR;</nlm:aff><wicri:noCountry code="subfield">VR</wicri:noCountry></affiliation></author><author><name sortKey="Chiesa, F" sort="Chiesa, F" uniqKey="Chiesa F" first="F." last="Chiesa">F. Chiesa</name><affiliation wicri:level="1"><nlm:aff id="A3"> Head and Neck Surgery, European Institute of Oncology, Milano, Italy;</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> Head and Neck Surgery, European Institute of Oncology, Milano</wicri:regionArea><wicri:noRegion>Milano</wicri:noRegion></affiliation></author><author><name sortKey="Franco, P" sort="Franco, P" uniqKey="Franco P" first="P." last="Franco">P. Franco</name><affiliation wicri:level="1"><nlm:aff id="A4"> Radiation Oncology Department, Tomotherapy Unit, Ospedale Regionale "U. Parini", AUSL Valle d'Aosta, Aosta, Italy;</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> Radiation Oncology Department, Tomotherapy Unit, Ospedale Regionale "U. Parini", AUSL Valle d'Aosta, Aosta</wicri:regionArea><wicri:noRegion>Aosta</wicri:noRegion></affiliation></author><author><name sortKey="Succo, G" sort="Succo, G" uniqKey="Succo G" first="G." last="Succo">G. Succo</name><affiliation wicri:level="1"><nlm:aff id="A5"> ENT Department, "S. Luigi Gonzaga", Martini Hospital, University of Torino, Italy;</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> ENT Department, "S. Luigi Gonzaga", Martini Hospital, University of Torino</wicri:regionArea><wicri:noRegion>University of Torino</wicri:noRegion></affiliation></author><author><name sortKey="Merlotti, A" sort="Merlotti, A" uniqKey="Merlotti A" first="A." last="Merlotti">A. Merlotti</name><affiliation wicri:level="1"><nlm:aff id="A6"> Radiation Oncology Department, AO Saronno-Busto Arsizio, Italy;</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> Radiation Oncology Department, AO Saronno-Busto Arsizio</wicri:regionArea><wicri:noRegion>AO Saronno-Busto Arsizio</wicri:noRegion></affiliation></author><author><name sortKey="Ansarin, M" sort="Ansarin, M" uniqKey="Ansarin M" first="M." last="Ansarin">M. Ansarin</name><affiliation wicri:level="1"><nlm:aff id="A7"> European Institute of Oncology, Milano, Italy;</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> European Institute of Oncology, Milano</wicri:regionArea><wicri:noRegion>Milano</wicri:noRegion></affiliation></author><author><name sortKey="Melano, A" sort="Melano, A" uniqKey="Melano A" first="A." last="Melano">A. Melano</name><affiliation wicri:level="1"><nlm:aff id="A1"> Radiation Oncology Department, AO "S. Croce e Carle", Cuneo, Italy;</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> Radiation Oncology Department, AO "S. Croce e Carle", Cuneo</wicri:regionArea><wicri:noRegion>Cuneo</wicri:noRegion></affiliation></author><author><name sortKey="Alterio, D" sort="Alterio, D" uniqKey="Alterio D" first="D." last="Alterio">D. Alterio</name><affiliation wicri:level="3"><nlm:aff id="A8"> Division of Radiation Oncology, European Institute of Oncology, Milan, Italy;</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> Division of Radiation Oncology, European Institute of Oncology, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Pergolizzi, S" sort="Pergolizzi, S" uniqKey="Pergolizzi S" first="S." last="Pergolizzi">S. Pergolizzi</name><affiliation wicri:level="1"><nlm:aff id="A9"> Department of Radiation Oncology, University of Messina, Italy;</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> Department of Radiation Oncology, University of Messina</wicri:regionArea><wicri:noRegion>University of Messina</wicri:noRegion></affiliation></author><author><name sortKey="Buglione, M" sort="Buglione, M" uniqKey="Buglione M" first="M." last="Buglione">M. Buglione</name><affiliation wicri:level="1"><nlm:aff id="A10"> Radiation Oncology Department, Unit of University of Brescia, Italy;</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> Radiation Oncology Department, Unit of University of Brescia</wicri:regionArea><wicri:noRegion>Unit of University of Brescia</wicri:noRegion></affiliation></author><author><name sortKey="Reali, A" sort="Reali, A" uniqKey="Reali A" first="A." last="Reali">A. Reali</name><affiliation wicri:level="1"><nlm:aff id="A11"> Unit of University of Torino, Ospedale "S. Luigi Gonzaga", Orbassano, Italy;</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> Unit of University of Torino, Ospedale "S. Luigi Gonzaga", Orbassano</wicri:regionArea><wicri:noRegion>Orbassano</wicri:noRegion></affiliation></author><author><name sortKey="Ricardi, U" sort="Ricardi, U" uniqKey="Ricardi U" first="U." last="Ricardi">U. Ricardi</name><affiliation wicri:level="3"><nlm:aff id="A12"> Radiation Oncology Unit, Department of Medical and Surgical Sciences, University of Torino, "S. Giovanni Battista" Hospital, Torino, Italy;</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> Radiation Oncology Unit, Department of Medical and Surgical Sciences, University of Torino, "S. Giovanni Battista" Hospital, Torino</wicri:regionArea><placeName><settlement type="city">Turin</settlement><region type="région" nuts="2">Piémont</region></placeName></affiliation></author><author><name sortKey="Corv, R" sort="Corv, R" uniqKey="Corv R" first="R." last="Corv">R. Corv</name><affiliation wicri:level="1"><nlm:aff id="A13"> Department of Radiation Oncology, University of Genova and IRCCS "San Martino-National Cancer Research Institute", Genova, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea> Department of Radiation Oncology, University of Genova and IRCCS "San Martino-National Cancer Research Institute", Genova</wicri:regionArea><wicri:noRegion>Genova</wicri:noRegion></affiliation></author></analytic><series><title level="j">Acta Otorhinolaryngologica Italica</title><idno type="ISSN">0392-100X</idno><idno type="eISSN">1827-675X</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>SUMMARY</title><p>Our aim was to survey the opinions of Italian radiation and ENT oncologists regarding the role of postoperative radiotherapy (PRT) and the appropriate dose to be given to patients with remnant larynx (RL) after open partial laryngectomy (OPL). The radio-oncologists (RO s) of the Italian Radiation-Oncologist Association (AIRO ) and the ENTs of the Head-Neck Oncology Society (AIOCC-IHNS) were contacted through a SurveyMonkey online interface questionnaire. There were 148 usable responses. The majority of RO s recommended PRT in the case of positive/close margins (R<sub>(+)</sub>/R<sub>close</sub>) or in the case of initial involvement of thyroid cartilage (pT3<sub>tci</sub>). In the same cases, ENTs prefer a "watch and wait" policy (w&w). Both disciplines recommended w&w in the case of negative margins (R<sub>(-)</sub>). Finally, the majority of RO s recommended irradiating RL with 62-66 Gy in R<sub>(+)</sub>, with 56-66 Gy (61.4%) in R<sub>close</sub> and with 56-60 Gy (34%) in pT3<sub>tci</sub>. In Conclusion, OPL raises new considerations about PRT.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Pfister, Dg" uniqKey="Pfister D">DG Pfister</name></author><author><name sortKey="Ang, K K" uniqKey="Ang K">K-K Ang</name></author><author><name sortKey="Brizel, D" uniqKey="Brizel D">D Brizel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bon, Fd" uniqKey="Bon F">FD Bon</name></author><author><name sortKey="Piazza, C" uniqKey="Piazza C">C Piazza</name></author><author><name sortKey="Mangili, S" uniqKey="Mangili S">S Mangili</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Garibaldi, E" uniqKey="Garibaldi E">E Garibaldi</name></author><author><name sortKey="Bresciani, S" uniqKey="Bresciani S">S Bresciani</name></author><author><name sortKey="Airaldi, C" uniqKey="Airaldi C">C Airaldi</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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Chen</name></author><author><name sortKey="Farwell, Dg" uniqKey="Farwell D">DG Farwell</name></author><author><name sortKey="Luu, Q" uniqKey="Luu Q">Q Luu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Garden, As" uniqKey="Garden A">AS Garden</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Moyer, Js" uniqKey="Moyer J">JS Moyer</name></author><author><name sortKey="Wolf, Gt" uniqKey="Wolf G">GT Wolf</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ansarin, M" uniqKey="Ansarin M">M Ansarin</name></author><author><name sortKey="Santoro, L" uniqKey="Santoro L">L Santoro</name></author><author><name sortKey="Cattaneo, A" uniqKey="Cattaneo A">A Cattaneo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hinni, Ml" uniqKey="Hinni M">ML Hinni</name></author><author><name sortKey="Ferlito, A" uniqKey="Ferlito A">A Ferlito</name></author><author><name sortKey="Brandwein Gensler, Ms" uniqKey="Brandwein Gensler M">MS Brandwein-Gensler</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Italie</li></country><region><li>Lombardie</li><li>Piémont</li></region><settlement><li>Milan</li><li>Turin</li></settlement></list><tree><noCountry><name sortKey="Sanguineti, G" sort="Sanguineti, G" uniqKey="Sanguineti G" first="G." last="Sanguineti">G. Sanguineti</name></noCountry><country name="Italie"><noRegion><name sortKey="Russi, E G" sort="Russi, E G" uniqKey="Russi E" first="E. G." last="Russi">E. G. Russi</name></noRegion><name sortKey="Alterio, D" sort="Alterio, D" uniqKey="Alterio D" first="D." last="Alterio">D. Alterio</name><name sortKey="Ansarin, M" sort="Ansarin, M" uniqKey="Ansarin M" first="M." last="Ansarin">M. Ansarin</name><name sortKey="Buglione, M" sort="Buglione, M" uniqKey="Buglione M" first="M." last="Buglione">M. Buglione</name><name sortKey="Chiesa, F" sort="Chiesa, F" uniqKey="Chiesa F" first="F." last="Chiesa">F. Chiesa</name><name sortKey="Corv, R" sort="Corv, R" uniqKey="Corv R" first="R." last="Corv">R. Corv</name><name sortKey="Franco, P" sort="Franco, P" uniqKey="Franco P" first="P." last="Franco">P. Franco</name><name sortKey="Melano, A" sort="Melano, A" uniqKey="Melano A" first="A." last="Melano">A. Melano</name><name sortKey="Merlotti, A" sort="Merlotti, A" uniqKey="Merlotti A" first="A." last="Merlotti">A. Merlotti</name><name sortKey="Pergolizzi, S" sort="Pergolizzi, S" uniqKey="Pergolizzi S" first="S." last="Pergolizzi">S. Pergolizzi</name><name sortKey="Reali, A" sort="Reali, A" uniqKey="Reali A" first="A." last="Reali">A. Reali</name><name sortKey="Ricardi, U" sort="Ricardi, U" uniqKey="Ricardi U" first="U." last="Ricardi">U. Ricardi</name><name sortKey="Succo, G" sort="Succo, G" uniqKey="Succo G" first="G." last="Succo">G. Succo</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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