期刊
LARYNGOSCOPE
卷 119, 期 11, 页码 2124-2134出版社
WILEY
DOI: 10.1002/lary.20619
关键词
Squamous cell cancer; head and neck neoplasms; chemoradiation; surgery; radiation; larynx; oral cavity; oropharynx; hypopharynx
The success of organ preservation protocols in laryngeal cancer has led to an increase in the use of primary chemoradiation in both laryngeal and extra-laryngeal sites, despite a paucity of randomized controlled clinical trial data comparing nonoperative treatment to the gold standard of surgery followed by postoperative radiation for adverse pathologic features for head and neck cancer, and an increasing recognition that the high surgical salvage rates enjoyed by laryngeal cancer patients do not translate to extralaryngeal sites. These data suggest that there is a need to apply more rigorous standards to the use of organ preservation strategies and offer an opportunity to review the role of primary surgery in head and neck cancer.
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