Oncologic outcome of hypopharyngeal carcinoma treated with different modalities at 2 different university hospitals

Giovanni Almadori, Jacopo Galli, Vincenzo Valentini, Gaetano Paludetti, Francesco Bussu, Federica Della Mura, Francesco Micciche', Manlio Pandolfini, Roberto Gallus, Rosa Autorino, Maria Lavinia Guidi Scotto Di Pa, Nicola Dinapoli, Federica Mura, Giulia Bertino, Antonio Occhini, Marco Benazzo

Risultato della ricerca: Contributo in rivistaArticolo in rivista

5 Citazioni (Scopus)

Abstract

Background The hypopharynx is the site with the worst prognosis among head and neck squamous cell carcinomas (SCCs). The purpose of this study was to evaluate the oncologic outcomes of hypopharyngeal SCCs to identify the major clinical predictive factors and to compare the different primary therapeutic modalities. Methods The medical records of 123 consecutive patients diagnosed with primary resectable hypopharyngeal SCC were reviewed. The correlations of oncologic endpoints with tumor parameters and primary treatment were evaluated. Results The overall survival (OS) rate was 76% and the disease-specific survival (DSS) rate was 80% at 3 years in the entire group. Sex and T and N classifications significantly influenced survival in both univariate and multivariate analyses. Seventy-four percent of our patients underwent both surgery and radiotherapy (RT), and the temporal sequence of the 2 modalities did not affect prognosis. Conclusion The primary treatment modality in patients with resectable hypopharyngeal SCC did not affect prognosis in univariate and multivariate analyses for any stage considered.
Lingua originaleEnglish
pagine (da-a)606-612
Numero di pagine7
RivistaHEAD & NECK
Volume38
DOI
Stato di pubblicazionePubblicato - 2016

Keywords

  • Adult
  • Aged
  • Aged, 80 and over
  • Carcinoma, Squamous Cell
  • Chemoradiotherapy
  • Female
  • Follow-Up Studies
  • Head and Neck Neoplasms
  • Hospitals, University
  • Humans
  • Hypopharyngeal Neoplasms
  • Italy
  • Male
  • Middle Aged
  • Otorhinolaryngology2734 Pathology and Forensic Medicine
  • Retrospective Studies
  • Survival Rate
  • Treatment Outcome
  • hypopharyngeal squamous cell carcinoma
  • multidisciplinary approach
  • primary treatment
  • radiotherapy
  • surgery

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