Survival and Prognostic Factors for Outcome after Radiotherapy for T2 Glottic Carcinoma

Background: Local recurrence after radiotherapy for T2 glottic carcinoma remains an issue and identifying patients at risk for relapse is, therefore, important. This study aimed to assess the oncological outcomes and prognostic factors in a consecutive series of patients treated with radiotherapy fo...

Full description

Bibliographic Details
Main Authors: Martine Hendriksma, Marc A.P. van Ruler, Berit M. Verbist, Martin A. de Jong, Ton P.M Langeveld, Peter Paul G. van Benthem, Elisabeth V. Sjögren
Format: Article
Language:English
Published: MDPI AG 2019-09-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/11/9/1319
_version_ 1797708162629894144
author Martine Hendriksma
Marc A.P. van Ruler
Berit M. Verbist
Martin A. de Jong
Ton P.M Langeveld
Peter Paul G. van Benthem
Elisabeth V. Sjögren
author_facet Martine Hendriksma
Marc A.P. van Ruler
Berit M. Verbist
Martin A. de Jong
Ton P.M Langeveld
Peter Paul G. van Benthem
Elisabeth V. Sjögren
author_sort Martine Hendriksma
collection DOAJ
description Background: Local recurrence after radiotherapy for T2 glottic carcinoma remains an issue and identifying patients at risk for relapse is, therefore, important. This study aimed to assess the oncological outcomes and prognostic factors in a consecutive series of patients treated with radiotherapy for T2N0 glottic carcinoma. Methods: Patients with T2N0 glottic carcinoma treated with radiotherapy were included in this retrospective study. Five- and ten-year local control (LC), overall survival (OS), disease-specific survival (DSS), and laryngeal preservation (LP) rates were calculated with the Kaplan&#8722;Meier method. The impact of prognostic variables was evaluated with the log-rank test. Results: Ninety-four patients were included for analysis. LC, OS, DSS, and LP rates were 70.5, 63.7, 86.0, and 74.7%, respectively at five years and 65.8, 41.0, 75.6, and 72.4% at 10 years. In total, 46 scans were included in the analyses. Vertical involvement of the anterior commissure on imaging showed a significant impact on LC. Conclusions:<b> </b>In accordance with previously described surgical risk factors, we identified vertical involvement of the anterior commissure on imaging as a prognostic factor for radiation failure.
first_indexed 2024-03-12T06:18:20Z
format Article
id doaj.art-ffee2a8adc4142028eda818f0ff71506
institution Directory Open Access Journal
issn 2072-6694
language English
last_indexed 2024-03-12T06:18:20Z
publishDate 2019-09-01
publisher MDPI AG
record_format Article
series Cancers
spelling doaj.art-ffee2a8adc4142028eda818f0ff715062023-09-03T02:27:47ZengMDPI AGCancers2072-66942019-09-01119131910.3390/cancers11091319cancers11091319Survival and Prognostic Factors for Outcome after Radiotherapy for T2 Glottic CarcinomaMartine Hendriksma0Marc A.P. van Ruler1Berit M. Verbist2Martin A. de Jong3Ton P.M Langeveld4Peter Paul G. van Benthem5Elisabeth V. Sjögren6Department of Otorhinolaryngology, Head & Neck Surgery, Leiden University Medical Center, 2300 RC Leiden, The NetherlandsDepartment of Radiation Oncology, Haaglanden Medical Center, 2300 RC The Hague, The NetherlandsDepartment of Radiology, Leiden University Medical Center, 2300 RC Leiden, The NetherlandsDepartment of Radiation Oncology, Leiden University Medical Center, 2300 RC Leiden, The NetherlandsDepartment of Otorhinolaryngology, Head & Neck Surgery, Leiden University Medical Center, 2300 RC Leiden, The NetherlandsDepartment of Otorhinolaryngology, Head & Neck Surgery, Leiden University Medical Center, 2300 RC Leiden, The NetherlandsDepartment of Otorhinolaryngology, Head & Neck Surgery, Leiden University Medical Center, 2300 RC Leiden, The NetherlandsBackground: Local recurrence after radiotherapy for T2 glottic carcinoma remains an issue and identifying patients at risk for relapse is, therefore, important. This study aimed to assess the oncological outcomes and prognostic factors in a consecutive series of patients treated with radiotherapy for T2N0 glottic carcinoma. Methods: Patients with T2N0 glottic carcinoma treated with radiotherapy were included in this retrospective study. Five- and ten-year local control (LC), overall survival (OS), disease-specific survival (DSS), and laryngeal preservation (LP) rates were calculated with the Kaplan&#8722;Meier method. The impact of prognostic variables was evaluated with the log-rank test. Results: Ninety-four patients were included for analysis. LC, OS, DSS, and LP rates were 70.5, 63.7, 86.0, and 74.7%, respectively at five years and 65.8, 41.0, 75.6, and 72.4% at 10 years. In total, 46 scans were included in the analyses. Vertical involvement of the anterior commissure on imaging showed a significant impact on LC. Conclusions:<b> </b>In accordance with previously described surgical risk factors, we identified vertical involvement of the anterior commissure on imaging as a prognostic factor for radiation failure.https://www.mdpi.com/2072-6694/11/9/1319early glottic cancerradiotherapylocal controlsurvivalanterior commissure
spellingShingle Martine Hendriksma
Marc A.P. van Ruler
Berit M. Verbist
Martin A. de Jong
Ton P.M Langeveld
Peter Paul G. van Benthem
Elisabeth V. Sjögren
Survival and Prognostic Factors for Outcome after Radiotherapy for T2 Glottic Carcinoma
Cancers
early glottic cancer
radiotherapy
local control
survival
anterior commissure
title Survival and Prognostic Factors for Outcome after Radiotherapy for T2 Glottic Carcinoma
title_full Survival and Prognostic Factors for Outcome after Radiotherapy for T2 Glottic Carcinoma
title_fullStr Survival and Prognostic Factors for Outcome after Radiotherapy for T2 Glottic Carcinoma
title_full_unstemmed Survival and Prognostic Factors for Outcome after Radiotherapy for T2 Glottic Carcinoma
title_short Survival and Prognostic Factors for Outcome after Radiotherapy for T2 Glottic Carcinoma
title_sort survival and prognostic factors for outcome after radiotherapy for t2 glottic carcinoma
topic early glottic cancer
radiotherapy
local control
survival
anterior commissure
url https://www.mdpi.com/2072-6694/11/9/1319
work_keys_str_mv AT martinehendriksma survivalandprognosticfactorsforoutcomeafterradiotherapyfort2glotticcarcinoma
AT marcapvanruler survivalandprognosticfactorsforoutcomeafterradiotherapyfort2glotticcarcinoma
AT beritmverbist survivalandprognosticfactorsforoutcomeafterradiotherapyfort2glotticcarcinoma
AT martinadejong survivalandprognosticfactorsforoutcomeafterradiotherapyfort2glotticcarcinoma
AT tonpmlangeveld survivalandprognosticfactorsforoutcomeafterradiotherapyfort2glotticcarcinoma
AT peterpaulgvanbenthem survivalandprognosticfactorsforoutcomeafterradiotherapyfort2glotticcarcinoma
AT elisabethvsjogren survivalandprognosticfactorsforoutcomeafterradiotherapyfort2glotticcarcinoma