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Chemoradiotherapy versus surgery followed by postoperative radiotherapy in tonsil cancer: Korean Radiation Oncology Group (KROG) study

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dc.contributor.author금기창-
dc.contributor.author이창걸-
dc.contributor.authorSang-Wook Lee-
dc.contributor.authorGeumju Park-
dc.contributor.authorSung Ho Moon-
dc.date.accessioned2018-07-20T08:26:38Z-
dc.date.available2018-07-20T08:26:38Z-
dc.date.issued2017-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/161195-
dc.description.abstractBACKGROUND: Treatment of tonsil cancer, a subset of oropahryngeal cancer, varies between surgery and radiotherapy. Well-designed studies in tonsil cancer have been rare and it is still controversial which treatment is optimal. This study aimed to assess the outcome and failure patterns in tonsil cancer patients treated with either approaches. METHODS: We retrospectively reviewed medical records of 586 patients with tonsil cancer, treated between 1998 and 2010 at 16 hospitals in Korea. Two hundred and one patients received radiotherapy and chemotherapy (CRT), while 385 patients received surgery followed by radiotherapy and/or chemotherapy (SRT). Compared with the SRT group, patients receiving CRT were older, with more advanced T stage and received higher radiotherapy dose given by intensity modulation techniques. Overall survival (OS), disease-free survival (DFS), locoregional recurrence-free survival (LRRFS), distant metastasis-free survival (DMFS), and clinicopathologic factors were analyzed. RESULTS: At follow-up, the 5-year OS, DFS, LRRFS and DMFS rates in the CRT group were 82, 78, 89, and 94%, respectively, and in the SRT group were 81, 73, 87, and 89%, respectively. Old age, current smoking, poor performance status, advanced T stage, nodal involvement, and induction chemotherapy were associated with poor OS. Induction chemotherapy had a negative prognostic impact on OS in both treatment groups (p = 0.001 and p = 0.033 in the CRT and SRT groups, respectively). CONCLUSIONS: In our multicenter, retrospective study of tonsil cancer patients, the combined use of radiotherapy and chemotherapy resulted in comparable oncologic outcome to surgery followed by postoperative radiotherapy, despite higher-risk patients having been treated with the definitive radiotherapy. Induction chemotherapy approaches combined with either surgery or definitive radiotherapy were associated with unfavorable outcomes.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.languageEnglish-
dc.publisherBioMed Central-
dc.relation.isPartOfBMC CANCER-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleChemoradiotherapy versus surgery followed by postoperative radiotherapy in tonsil cancer: Korean Radiation Oncology Group (KROG) study-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Radiation Oncology-
dc.contributor.googleauthorSanghyuk Song-
dc.contributor.googleauthorHong-Gyun Wu-
dc.contributor.googleauthorChang Geol Lee-
dc.contributor.googleauthorKi Chang Keum-
dc.contributor.googleauthorMi Sun Kim-
dc.contributor.googleauthorYong Chan Ahn-
dc.contributor.googleauthorDongryul Oh-
dc.contributor.googleauthorHyo Jung Park-
dc.contributor.googleauthorKwan Ho Cho-
dc.contributor.googleauthorYeon-Sil Kim-
dc.contributor.googleauthorYongkyun Won-
dc.contributor.googleauthorYoung-Taek Oh-
dc.contributor.googleauthorWon-Taek Kim-
dc.contributor.googleauthorJae-Uk Jeong-
dc.identifier.doi10.1186/s12885-017-3571-3-
dc.contributor.localIdA00272-
dc.contributor.localIdA03240-
dc.relation.journalcodeJ00351-
dc.identifier.eissn1471-2407-
dc.identifier.pmid28854890-
dc.subject.keywordAdjuvant radiotherapy-
dc.subject.keywordChemoradiotherapy-
dc.subject.keywordInduction chemotherapy-
dc.subject.keywordSurgery-
dc.subject.keywordTonsil cancer-
dc.contributor.alternativeNameKeum, Ki Chang-
dc.contributor.alternativeNameLee, Chang Geol-
dc.contributor.affiliatedAuthorKeum, Ki Chang-
dc.contributor.affiliatedAuthorLee, Chang Geol-
dc.citation.volume17-
dc.citation.number1-
dc.citation.startPage598-
dc.identifier.bibliographicCitationBMC CANCER, Vol.17(1) : 598, 2017-
dc.identifier.rimsid61120-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiation Oncology (방사선종양학교실) > 1. Journal Papers

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