Ha un ruolo la radioterapia postoperatoria dopo laringectomia parziale quando i fattori prognostici istopatologici sono sfavorevoli? Survey di ORL e radiooncologi

Translated title of the contribution: Is there a role for postoperative radiotherapy following open partial laryngectomy when prognostic factors on the pathological specimen are unfavourable? A survey of head and neck surgical/radiation oncologists

E. G. Russi, G. Sanguineti, F. Chiesa, P. Franco, G. Succo, A. Merlotti, M. Ansarin, A. Melano, D. Alterio, S. Pergolizzi, M. Buglione, A. Reali, U. Ricardi, R. Corvò

Research output: Contribution to journalArticlepeer-review

Abstract

Our aim was to survey the opinions of Italian radiation and ENT oncologists regarding the role of postoperative radiotherapy (PRT) and the appropriate dose to be given to patients with remnant larynx (RL) after open partial laryngectomy (OPL). The radio-oncologists (RO s) of the Italian Radiation-Oncologist Association (AIRO) and the ENTs of the Head-Neck Oncology Society (AIOCC-IHNS) were contacted through a SurveyMonkey online interface questionnaire. There were 148 usable responses. The majority of RO s recommended PRT in the case of positive/close margins (R(+)/Rclose) or in the case of initial involvement of thyroid cartilage (pT3tci). In the same cases, ENTs prefer a "watch and wait" policy (w&w). Both disciplines recommended w&w in the case of negative margins (R(-)). Finally, the majority of RO s recommended irradiating RL with 62-66 Gy in R(+), with 56-66 Gy (61.4%) in Rclose and with 56-60 Gy (34%) in pT3tci. In Conclusion, OPL raises new considerations about PRT.

Translated title of the contributionIs there a role for postoperative radiotherapy following open partial laryngectomy when prognostic factors on the pathological specimen are unfavourable? A survey of head and neck surgical/radiation oncologists
Original languageItalian
Pages (from-to)311-319
Number of pages9
JournalActa Otorhinolaryngologica Italica
Volume33
Issue number5
Publication statusPublished - 2013

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Medicine(all)

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