Combined Surgery and Radiation Therapy for Squamous Cell Carcinoma of the Hypopharynx

Author:

Kraus Dennis H.1,Zelefsky Michael J.2,Brock Heidi A. J.1,Huo Jerry1,Harrison Louis B.2,Shah Jatin P1

Affiliation:

1. Head and Neck Service, Department of Surgery, and the Brachytherapy Service, New York, New York

2. Department of Radiation Therapy, Memorial Sloan-Kettermg Cancer Center, New York, New York

Abstract

Squamous cell carcinoma of the hypopharynx remains a highly lethal disease. This article documents our experience with 132 patients undergoing surgical management of squamous cell carcinoma of the hypopharynx, of whom 80% received postoperative radiation therapy. Local-regional control was obtained in 61% of the patients. Five-year overall and disease-free survival rates were 30% and 41%, respectively. Prognosis was better in patients with limited disease: local disease permitting larynx-sparing surgery, N0/N1 clinical neck, and stage I/II/III disease. Cancer of the hypopharynx remains an aggressive entity associated with poor prognosis. Novel strategies stressing improved local-regional control with prevention of distant metastasis are warranted.

Publisher

SAGE Publications

Subject

Otorhinolaryngology,Surgery

Reference21 articles.

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2. 2Fleiss JL Statistical methods for rates and proportions. New York: Wiley, 1973: 24.

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4. Combined Therapy vs Curative Radiation in the Treatment of Pyriform Sinus Carcinoma

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