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  • [Head Neck.] Feasibility of Single Vocal Cord Irradiation as a Treatment Strategy for T1a Glottic Cancer

    [Head Neck.] Feasibility of Single Vocal Cord Irradiation as a Treatment Strategy for T1a Glottic Cancer

    연세의대 / 정승연, 이창걸*

  • 출처
    Head Neck.
  • 등재일
    2020 May
  • 저널이슈번호
    42(5):854-859. doi: 10.1002/hed.26052. Epub 2019 Dec 19.
  • 내용

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    Abstract
    Background: Generally, radiotherapy for patients with early glottic cancer includes treatment of the whole larynx. This study was conducted to evaluate the treatment outcomes and toxicity in patients who received single vocal cord irradiation (SVCI) for T1a classification glottic cancer.

    Methods: A total of 34 patients diagnosed with clinical T1aN0M0 classification squamous cell carcinoma of the glottis who received radiotherapy to the single vocal cord were included for analysis.

    Results: Median follow-up period was 41.3 months (range, 6.4-124.5 months). The 3-year and 5-year local control (LC) rates were both 96.8%. Grade 3 radiation dermatitis was observed as severe acute toxicity in two (6%) patients. No patients experienced any severe late toxicity events during follow-up.

    Conclusions: SVCI showed good LC, low acute and late toxicities, and reasonable voice recovery. SVCI may be considered a feasible treatment strategy for patients with T1a glottic cancer.

     

     

     

     

     

    Affiliation

    Seung Yeun Chung  1 , Chang Geol Lee  1
    1 Department of Radiation Oncology, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, South Korea.

  • 키워드
    head and neck cancer; laryngeal neoplasms; local neoplasm recurrence; radiotherapy; toxicity.
  • 연구소개
    한쪽 성대에만 국한된 초기 후두암(T1a병기)에서 방사선치료는 큰효과를 발휘하여 완치율이 90%정도로 높습니다. 그러나 3차원적치료 그리고 더 정밀한 최신의 세기조절방사선치료시 후두전체를 치료함으로써 치료후 음성의 질이 떨어지게 됩니다. 저자들은 한쪽 성대에 국한된 경우 해당성대부위만 세기조절방사선치료함으로써 나머지 성대 그리고 후두의 정상조직을 최대한 제외하여 완치율을 떨어뜨리지 않으면서 음성의 질을 더 높힐수 있었습니다. 앞으로 초기 후두암의 경우 암의 완치와 음성의 질 보존 두 마리 토끼를 다 잡을수 있는 연구결과이고 해당 저널의 표지모델 논문으로 선정되었습니다.
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