Definitive Radiotherapy versus Surgery for the Treatment of Verrucous Carcinoma of the Larynx: A National Cancer Database Study
Introduction Traditionally, larger lesions of laryngeal verrucous carcinoma are treated with surgical excision, with definitive radiotherapy generally reserved for smaller lesions. However, data utilizing modern databases is limited. Objective The authors sought to assess, utilizing the N...
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Thieme Revinter Publicações Ltda.
2021
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oai:doaj.org-article:a962baa2d4aa4f4cb11c561b50a2280b2021-11-04T00:04:12ZDefinitive Radiotherapy versus Surgery for the Treatment of Verrucous Carcinoma of the Larynx: A National Cancer Database Study1809-97771809-486410.1055/s-0041-1730304https://doaj.org/article/a962baa2d4aa4f4cb11c561b50a2280b2021-11-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1730304https://doaj.org/toc/1809-9777https://doaj.org/toc/1809-4864Introduction Traditionally, larger lesions of laryngeal verrucous carcinoma are treated with surgical excision, with definitive radiotherapy generally reserved for smaller lesions. However, data utilizing modern databases is limited. Objective The authors sought to assess, utilizing the National Cancer Database, whether overall survival for patients with laryngeal verrucous carcinoma was equivalent when treated with definitive radiotherapy versus definitive surgery. Methods A retrospective cohort study was conducted utilizing the National Cancer Database. All cases of laryngeal verrucous carcinoma within the National Cancer Database between 2006 and 2014 were reviewed. Patients with T1–T3 (American Joint Commission on Cancer 7th Edition) laryngeal verrucous carcinoma were included and stratified by treatment modality. Demographics, treatment, and survival data were analyzed. Results A total of 392 patients were included. Two hundred and fifty patients underwent surgery and 142 received radiotherapy. The two groups differed in age, transition of care, clinical T stage, and clinical stages. There was no significant difference in survival between T1–T3 lesions treated with surgery or radiotherapy (p = 0.32). Age, comorbidities, insurance status, and clinical T stage impacted overall hazard on multivariate analysis (p < 0.01). For patients treated with radiotherapy, age, insurance status, and clinical T stage were predictive of increased hazard. Conclusion Overall survival is equivalent for patients with clinical T1 and clinical T2 laryngeal verrucous carcinoma treated with primary radiotherapy versus primary surgery. Thus, radiotherapy should be considered as a non-inferior treatment modality for certain patients with laryngeal verrucous carcinoma.Anvesh R KompelliMichael H FroehlichPatrick F. MorganHong LiAnand K SharmaCherieAnn O NathanDavid M NeskeyThieme Revinter Publicações Ltda.articleverrucous carcinomalaryngeal neoplasmssurvival analysissurgical oncologyradiotherapyMedicineROtorhinolaryngologyRF1-547ENInternational Archives of Otorhinolaryngology (2021) |
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EN |
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verrucous carcinoma laryngeal neoplasms survival analysis surgical oncology radiotherapy Medicine R Otorhinolaryngology RF1-547 |
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verrucous carcinoma laryngeal neoplasms survival analysis surgical oncology radiotherapy Medicine R Otorhinolaryngology RF1-547 Anvesh R Kompelli Michael H Froehlich Patrick F. Morgan Hong Li Anand K Sharma CherieAnn O Nathan David M Neskey Definitive Radiotherapy versus Surgery for the Treatment of Verrucous Carcinoma of the Larynx: A National Cancer Database Study |
| description |
Introduction Traditionally, larger lesions of laryngeal verrucous carcinoma are treated with surgical excision, with definitive radiotherapy generally reserved for smaller lesions. However, data utilizing modern databases is limited.
Objective The authors sought to assess, utilizing the National Cancer Database, whether overall survival for patients with laryngeal verrucous carcinoma was equivalent when treated with definitive radiotherapy versus definitive surgery.
Methods A retrospective cohort study was conducted utilizing the National Cancer Database. All cases of laryngeal verrucous carcinoma within the National Cancer Database between 2006 and 2014 were reviewed. Patients with T1–T3 (American Joint Commission on Cancer 7th Edition) laryngeal verrucous carcinoma were included and stratified by treatment modality. Demographics, treatment, and survival data were analyzed.
Results A total of 392 patients were included. Two hundred and fifty patients underwent surgery and 142 received radiotherapy. The two groups differed in age, transition of care, clinical T stage, and clinical stages. There was no significant difference in survival between T1–T3 lesions treated with surgery or radiotherapy (p = 0.32). Age, comorbidities, insurance status, and clinical T stage impacted overall hazard on multivariate analysis (p < 0.01). For patients treated with radiotherapy, age, insurance status, and clinical T stage were predictive of increased hazard.
Conclusion Overall survival is equivalent for patients with clinical T1 and clinical T2 laryngeal verrucous carcinoma treated with primary radiotherapy versus primary surgery. Thus, radiotherapy should be considered as a non-inferior treatment modality for certain patients with laryngeal verrucous carcinoma. |
| format |
article |
| author |
Anvesh R Kompelli Michael H Froehlich Patrick F. Morgan Hong Li Anand K Sharma CherieAnn O Nathan David M Neskey |
| author_facet |
Anvesh R Kompelli Michael H Froehlich Patrick F. Morgan Hong Li Anand K Sharma CherieAnn O Nathan David M Neskey |
| author_sort |
Anvesh R Kompelli |
| title |
Definitive Radiotherapy versus Surgery for the Treatment of Verrucous Carcinoma of the Larynx: A National Cancer Database Study |
| title_short |
Definitive Radiotherapy versus Surgery for the Treatment of Verrucous Carcinoma of the Larynx: A National Cancer Database Study |
| title_full |
Definitive Radiotherapy versus Surgery for the Treatment of Verrucous Carcinoma of the Larynx: A National Cancer Database Study |
| title_fullStr |
Definitive Radiotherapy versus Surgery for the Treatment of Verrucous Carcinoma of the Larynx: A National Cancer Database Study |
| title_full_unstemmed |
Definitive Radiotherapy versus Surgery for the Treatment of Verrucous Carcinoma of the Larynx: A National Cancer Database Study |
| title_sort |
definitive radiotherapy versus surgery for the treatment of verrucous carcinoma of the larynx: a national cancer database study |
| publisher |
Thieme Revinter Publicações Ltda. |
| publishDate |
2021 |
| url |
https://doaj.org/article/a962baa2d4aa4f4cb11c561b50a2280b |
| work_keys_str_mv |
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