Comparison of Oncological and Functional Outcomes between Initial Surgical versus Non-Surgical Treatments for Hypopharyngeal Cancer

Annals of Surgical Oncology
Jeon Yeob JangHan-Sin Jeong

Abstract

Whether to administer surgical or non-surgical treatments (radiation or chemoradiation therapies) for the initial management of hypopharyngeal cancer (HPC) remains a topic of debate. Herein, we explored the differences between the two approaches in terms of oncological and functional outcomes in 332 HPC patients. The primary endpoint was survival probability; secondary outcomes included post-treatment speech and swallowing functions and necessity of additional surgical procedures for salvage or complication management. Cox proportional hazard models using clinical variables were constructed to identify significant factors. The 2- and 5-year overall survival (OS) rates in all patients were 64.9 and 40.9 %, respectively. In early-stage HPC patients (N = 52), initial surgery ± radiation therapy (RT) or RT alone yielded similar oncological (60 % 5-year OS rate) and functional outcomes. As for resectable advanced-stage cancers (N = 177), initial surgery ± RT/chemoradiation therapy (SRC) and initial concurrent chemoradiation therapy (iCRT) resulted in similar 45-50 % 5-year OS rates. After sacrificing the larynx, 60 % of SRC patients recovered their speaking ability through voice prosthesis, which was less than the rate for iCRT pati...Continue Reading

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Citations

Jan 24, 2017·Acta otorrinolaringológica española·Patricia García-Cabo HerreroJuan Pablo Rodrigo
Dec 7, 2018·Current Opinion in Otolaryngology & Head and Neck Surgery·Patrick J Bradley, Liangfa Liu
Mar 5, 2020·Laryngoscope Investigative Otolaryngology·Ciaran LaneNorbert Viallet
Nov 20, 2019·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Manigreeva KrishnatreyaManoj Kalita
May 3, 2020·World Journal of Surgical Oncology·Yao-Te TsaiKai-Ping Chang
Nov 13, 2020·Technology in Cancer Research & Treatment·Sifan GaoChaobing Gao
Feb 24, 2021·Journal of Surgical Oncology·Maria Paz Galeano MachucaChih-Tao Cheng

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