Definitive radiotherapy for early stage glottic cancer by 6 MV photons
Identifieur interne : 000376 ( Main/Exploration ); précédent : 000375; suivant : 000377Definitive radiotherapy for early stage glottic cancer by 6 MV photons
Auteurs : Chi-Chung Tong [Hong Kong] ; Kwok-Hung Au [Hong Kong] ; Roger Kai-Cheong Ngan [Hong Kong] ; Foon-Yiu Cheung [Hong Kong] ; Sin-Ming Chow [Hong Kong] ; Yiu-Tung Fu [Hong Kong] ; Joseph Siu-Kei Au [Hong Kong] ; Stephen Chun-Key Law [Hong Kong]Source :
- Head & Neck Oncology [ 1758-3284 ] ; 2012.
Abstract
To evaluate the clinical outcome of early glottic cancer (GC) treated by primary radiotherapy (RT) with 6 MV photons.
We retrospectively reviewed the medical records of 695 consecutive patients with T1N0 and T2N0 GC treated between 1983 and 2005 by RT in our institution. Clinical outcome in terms of local control (LC), overall survival (OS) and cause- specific survival (CSS) rate were evaluated.
The median follow-up time was 10.5 years. The 10-year actuarial LC rates were as follows: T1A, 91%; T1B, 87%; T2, 77%. The 10-year OS were as follows: T1, 74.2%; T2, 70.7%. The 10-year CSS were as follows: T1, 97.7%; T2, 97.1%.
Poorly differentiated histology and tumor biologically effective dose < 65 Gy15 were adverse factors in both LC of T1 and T2 disease. Involvement of anterior commissure was an adverse factor in both LC and CSS of T1 disease. Subglottic extension was associated with poor LC in T2 disease whereas hemoglobin <13.0 was associated with poor LC and CSS of T2 disease.
Primary RT remains an option among the various standard treatments for early GC. Clinical treatment outcome by 6MV photons is similar and comparable to historic data of Cobalt-60 and 2 MV photons.
Url:
DOI: 10.1186/1758-3284-4-23
PubMed: 22607730
PubMed Central: 3448507
Affiliations:
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Elizabeth Hospital, 30 Gascoigne Road, Kowloon, Hong Kong</nlm:aff><country xml:lang="fr">Hong Kong</country><wicri:regionArea>Department of Clinical Oncology, Queen Elizabeth Hospital, 30 Gascoigne Road, Kowloon</wicri:regionArea><wicri:noRegion>Kowloon</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22607730</idno><idno type="pmc">3448507</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3448507</idno><idno type="RBID">PMC:3448507</idno><idno type="doi">10.1186/1758-3284-4-23</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">000297</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000297</idno><idno type="wicri:Area/Pmc/Curation">000296</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000296</idno><idno type="wicri:Area/Pmc/Checkpoint">000253</idno><idno type="wicri:explorRef" wicri:stream="Pmc" 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Kowloon</wicri:regionArea><wicri:noRegion>Kowloon</wicri:noRegion></affiliation></author><author><name sortKey="Au, Kwok Hung" sort="Au, Kwok Hung" uniqKey="Au K" first="Kwok-Hung" last="Au">Kwok-Hung Au</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Clinical Oncology, Queen Elizabeth Hospital, 30 Gascoigne Road, Kowloon, Hong Kong</nlm:aff><country xml:lang="fr">Hong Kong</country><wicri:regionArea>Department of Clinical Oncology, Queen Elizabeth Hospital, 30 Gascoigne Road, Kowloon</wicri:regionArea><wicri:noRegion>Kowloon</wicri:noRegion></affiliation></author><author><name sortKey="Ngan, Roger Kai Cheong" sort="Ngan, Roger Kai Cheong" uniqKey="Ngan R" first="Roger Kai-Cheong" last="Ngan">Roger Kai-Cheong Ngan</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Clinical Oncology, Queen Elizabeth Hospital, 30 Gascoigne Road, Kowloon, Hong Kong</nlm:aff><country xml:lang="fr">Hong Kong</country><wicri:regionArea>Department of Clinical Oncology, Queen Elizabeth Hospital, 30 Gascoigne Road, Kowloon</wicri:regionArea><wicri:noRegion>Kowloon</wicri:noRegion></affiliation></author><author><name sortKey="Cheung, Foon Yiu" sort="Cheung, Foon Yiu" uniqKey="Cheung F" first="Foon-Yiu" last="Cheung">Foon-Yiu Cheung</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Clinical Oncology, Queen Elizabeth Hospital, 30 Gascoigne Road, Kowloon, Hong Kong</nlm:aff><country xml:lang="fr">Hong Kong</country><wicri:regionArea>Department of Clinical Oncology, Queen Elizabeth Hospital, 30 Gascoigne Road, Kowloon</wicri:regionArea><wicri:noRegion>Kowloon</wicri:noRegion></affiliation></author><author><name sortKey="Chow, Sin Ming" sort="Chow, Sin Ming" uniqKey="Chow S" first="Sin-Ming" last="Chow">Sin-Ming Chow</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Clinical Oncology, Queen Elizabeth Hospital, 30 Gascoigne Road, Kowloon, Hong Kong</nlm:aff><country xml:lang="fr">Hong Kong</country><wicri:regionArea>Department of Clinical Oncology, Queen Elizabeth Hospital, 30 Gascoigne Road, Kowloon</wicri:regionArea><wicri:noRegion>Kowloon</wicri:noRegion></affiliation></author><author><name sortKey="Fu, Yiu Tung" sort="Fu, Yiu Tung" uniqKey="Fu Y" first="Yiu-Tung" last="Fu">Yiu-Tung Fu</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Clinical Oncology, Queen Elizabeth Hospital, 30 Gascoigne Road, Kowloon, Hong Kong</nlm:aff><country xml:lang="fr">Hong Kong</country><wicri:regionArea>Department of Clinical Oncology, Queen Elizabeth Hospital, 30 Gascoigne Road, Kowloon</wicri:regionArea><wicri:noRegion>Kowloon</wicri:noRegion></affiliation></author><author><name sortKey="Au, Joseph Siu Kei" sort="Au, Joseph Siu Kei" uniqKey="Au J" first="Joseph Siu-Kei" last="Au">Joseph Siu-Kei Au</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Clinical Oncology, Queen Elizabeth Hospital, 30 Gascoigne Road, Kowloon, Hong Kong</nlm:aff><country xml:lang="fr">Hong Kong</country><wicri:regionArea>Department of Clinical Oncology, Queen Elizabeth Hospital, 30 Gascoigne Road, Kowloon</wicri:regionArea><wicri:noRegion>Kowloon</wicri:noRegion></affiliation></author><author><name sortKey="Law, Stephen Chun Key" sort="Law, Stephen Chun Key" uniqKey="Law S" first="Stephen Chun-Key" last="Law">Stephen Chun-Key Law</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Clinical Oncology, Queen Elizabeth Hospital, 30 Gascoigne Road, Kowloon, Hong Kong</nlm:aff><country xml:lang="fr">Hong Kong</country><wicri:regionArea>Department of Clinical Oncology, Queen Elizabeth Hospital, 30 Gascoigne Road, Kowloon</wicri:regionArea><wicri:noRegion>Kowloon</wicri:noRegion></affiliation></author></analytic><series><title level="j">Head & Neck Oncology</title><idno type="eISSN">1758-3284</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>To evaluate the clinical outcome of early glottic cancer (GC) treated by primary radiotherapy (RT) with 6 MV photons.</p></sec><sec><title>Methods and materials</title><p>We retrospectively reviewed the medical records of 695 consecutive patients with T1N0 and T2N0 GC treated between 1983 and 2005 by RT in our institution. Clinical outcome in terms of local control (LC), overall survival (OS) and cause- specific survival (CSS) rate were evaluated.</p></sec><sec><title>Results</title><p>The median follow-up time was 10.5 years. The 10-year actuarial LC rates were as follows: T1A, 91%; T1B, 87%; T2, 77%. The 10-year OS were as follows: T1, 74.2%; T2, 70.7%. The 10-year CSS were as follows: T1, 97.7%; T2, 97.1%.</p><p>Poorly differentiated histology and tumor biologically effective dose < 65 Gy<sub>15</sub> were adverse factors in both LC of T1 and T2 disease. Involvement of anterior commissure was an adverse factor in both LC and CSS of T1 disease. Subglottic extension was associated with poor LC in T2 disease whereas hemoglobin <13.0 was associated with poor LC and CSS of T2 disease.</p></sec><sec><title>Conclusion</title><p>Primary RT remains an option among the various standard treatments for early GC. 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sortKey="Cho, J" uniqKey="Cho J">J Cho</name></author><author><name sortKey="Gilbert, R" uniqKey="Gilbert R">R Gilbert</name></author><author><name sortKey="Breen, S" uniqKey="Breen S">S Breen</name></author><author><name sortKey="Waldron, Jn" uniqKey="Waldron J">JN Waldron</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Hong Kong</li></country></list><tree><country name="Hong Kong"><noRegion><name sortKey="Tong, Chi Chung" sort="Tong, Chi Chung" uniqKey="Tong C" first="Chi-Chung" last="Tong">Chi-Chung Tong</name></noRegion><name sortKey="Au, Joseph Siu Kei" sort="Au, Joseph Siu Kei" uniqKey="Au J" first="Joseph Siu-Kei" last="Au">Joseph Siu-Kei Au</name><name sortKey="Au, Kwok Hung" sort="Au, Kwok Hung" uniqKey="Au K" first="Kwok-Hung" last="Au">Kwok-Hung Au</name><name sortKey="Cheung, Foon Yiu" sort="Cheung, Foon Yiu" uniqKey="Cheung F" first="Foon-Yiu" last="Cheung">Foon-Yiu Cheung</name><name sortKey="Chow, Sin Ming" sort="Chow, Sin Ming" uniqKey="Chow S" first="Sin-Ming" last="Chow">Sin-Ming Chow</name><name sortKey="Fu, Yiu Tung" sort="Fu, Yiu Tung" uniqKey="Fu Y" first="Yiu-Tung" last="Fu">Yiu-Tung Fu</name><name sortKey="Law, Stephen Chun Key" sort="Law, Stephen Chun Key" uniqKey="Law S" first="Stephen Chun-Key" last="Law">Stephen Chun-Key Law</name><name sortKey="Ngan, Roger Kai Cheong" sort="Ngan, Roger Kai Cheong" uniqKey="Ngan R" first="Roger Kai-Cheong" last="Ngan">Roger Kai-Cheong Ngan</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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