[Accelerated postoperative radiotherapy in patients with advanced larynx cancer]

Otolaryngol Pol. 2010 Jun;64(7):60-4. doi: 10.1016/S0030-6657(10)70012-3.
[Article in Polish]

Abstract

Aim: The aim of study was test efficacy of accelerated postoperative radiotherapy--concomitant boost in patients with advanced larynx cancer.

Methods and materials: The prospective study included 112 patients with advanced larynx cancer after radical surgical treatment. Patients had postoperative radiation therapy, conventional (C) or accelerated (CB).

Results: The 3-year overall survival in CB was 59%, in C--58% (p = 0.2), 3-year locoregional control in CB--83%, in C--75% (p = 0.01), the 3-year disease free survival was in CB--72%, C--66% (p = 0.1).

Conclusion: Concomitant boost postoperative radiation therapy did not improve overall survival, loco-regional control, disease free survival. Patients with close surgical margins, longer interval between surgery and radiation, high level of hemoglobin, T4 had benefit from accelerated radiotherapy.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Antineoplastic Agents / therapeutic use
  • Carcinoma, Squamous Cell / diagnostic imaging*
  • Carcinoma, Squamous Cell / drug therapy
  • Carcinoma, Squamous Cell / pathology*
  • Carcinoma, Squamous Cell / surgery
  • Combined Modality Therapy
  • Disease-Free Survival
  • Dose-Response Relationship, Radiation
  • Female
  • Follow-Up Studies
  • Humans
  • Laryngeal Neoplasms / drug therapy
  • Laryngeal Neoplasms / pathology*
  • Laryngeal Neoplasms / radiotherapy*
  • Laryngeal Neoplasms / surgery
  • Male
  • Neoplasm Staging
  • Poland
  • Postoperative Care / methods*
  • Radiography
  • Radiotherapy Dosage
  • Radiotherapy, Adjuvant / statistics & numerical data
  • Risk Assessment
  • Survival Analysis

Substances

  • Antineoplastic Agents