What is the role of postoperative re-irradiation in recurrent and second primary squamous cell cancer of head and neck? A literature review according to PICO criteria.

Anna Merlotti; Rosario Mazzola; Daniela Alterio; Filippo Alongi; Almalina Bacigalupo; Pierluigi Bonomo; Marta Maddalo; Elvio Grazioso Russi; Ester Orlandi

doi:10.1016/j.critrevonc.2017.01.008

What is the role of postoperative re-irradiation in recurrent and second primary squamous cell cancer of head and neck? A literature review according to PICO criteria.

Anna Merlotti, Rosario Mazzola, Daniela Alterio, Filippo Alongi, Almalina Bacigalupo, Pierluigi Bonomo, Marta Maddalo, Elvio Grazioso Russi, Ester Orlandi

Research output: Contribution to journal › Article › peer-review

Abstract

Re-irradiation has been increasingly offered as a potential effective treatment for head and neck squamous cell carcinoma (HNSCC) loco-regional recurrence as well as second primary tumor in previously irradiated area. This review focused on the role of postoperative re-irradiation (POreRT) in terms of feasibility, toxicity and long-term outcomes in HNSCC patients. The key issue for the research was formulated in two questions according to the PICO (population, intervention, control, and outcomes) criteria. A total of 16 publications met the inclusion criteria for a total of 919 patients; in 522 patients POreRT was performed. POreRT in recurrent and second primary HNSCC seems to be feasible in highly selected patients with the intent to guarantee an acceptable LC compared to surgery alone. The optimal RT schedule remains unclear due to the heterogeneity of literature data.

Original language	Undefined/Unknown
Pages (from-to)	20-30
Number of pages	11
Journal	Critical Reviews in Oncology/Hematology
Volume	111
DOIs	https://doi.org/10.1016/j.critrevonc.2017.01.008
Publication status	Published - Mar 1 2017

Keywords

Carcinoma, Squamous Cell/*radiotherapy/surgery, Head and Neck Neoplasms/*radiotherapy/surgery, Head and neck squamous cell cancer, Humans, Neoplasm Recurrence, Local/*radiotherapy, Neoplasms, Second Primary/*radiotherapy, radiotherapy, Randomized Controlled Trials as Topic, recurrence, Re-irradiation, Retreatment, Squamous cell carcinoma, Treatment Outcome

Access to Document

10.1016/j.critrevonc.2017.01.008

Cite this

Merlotti, A., Mazzola, R., Alterio, D., Alongi, F., Bacigalupo, A., Bonomo, P., Maddalo, M., Russi, E. G., & Orlandi, E. (2017). What is the role of postoperative re-irradiation in recurrent and second primary squamous cell cancer of head and neck? A literature review according to PICO criteria. Critical Reviews in Oncology/Hematology, 111, 20-30. https://doi.org/10.1016/j.critrevonc.2017.01.008

What is the role of postoperative re-irradiation in recurrent and second primary squamous cell cancer of head and neck? A literature review according to PICO criteria. / Merlotti, Anna; Mazzola, Rosario; Alterio, Daniela; Alongi, Filippo; Bacigalupo, Almalina; Bonomo, Pierluigi; Maddalo, Marta; Russi, Elvio Grazioso; Orlandi, Ester.

In: Critical Reviews in Oncology/Hematology, Vol. 111, 01.03.2017, p. 20-30.

Research output: Contribution to journal › Article › peer-review

Merlotti, A, Mazzola, R, Alterio, D, Alongi, F, Bacigalupo, A, Bonomo, P, Maddalo, M, Russi, EG & Orlandi, E 2017, 'What is the role of postoperative re-irradiation in recurrent and second primary squamous cell cancer of head and neck? A literature review according to PICO criteria.', Critical Reviews in Oncology/Hematology, vol. 111, pp. 20-30. https://doi.org/10.1016/j.critrevonc.2017.01.008

Merlotti, Anna ; Mazzola, Rosario ; Alterio, Daniela ; Alongi, Filippo ; Bacigalupo, Almalina ; Bonomo, Pierluigi ; Maddalo, Marta ; Russi, Elvio Grazioso ; Orlandi, Ester. / What is the role of postoperative re-irradiation in recurrent and second primary squamous cell cancer of head and neck? A literature review according to PICO criteria. In: Critical Reviews in Oncology/Hematology. 2017 ; Vol. 111. pp. 20-30.

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abstract = "Re-irradiation has been increasingly offered as a potential effective treatment for head and neck squamous cell carcinoma (HNSCC) loco-regional recurrence as well as second primary tumor in previously irradiated area. This review focused on the role of postoperative re-irradiation (POreRT) in terms of feasibility, toxicity and long-term outcomes in HNSCC patients. The key issue for the research was formulated in two questions according to the PICO (population, intervention, control, and outcomes) criteria. A total of 16 publications met the inclusion criteria for a total of 919 patients; in 522 patients POreRT was performed. POreRT in recurrent and second primary HNSCC seems to be feasible in highly selected patients with the intent to guarantee an acceptable LC compared to surgery alone. The optimal RT schedule remains unclear due to the heterogeneity of literature data.",

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author = "Anna Merlotti and Rosario Mazzola and Daniela Alterio and Filippo Alongi and Almalina Bacigalupo and Pierluigi Bonomo and Marta Maddalo and Russi, {Elvio Grazioso} and Ester Orlandi",

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AU - Alterio, Daniela

AU - Alongi, Filippo

AU - Bacigalupo, Almalina

AU - Bonomo, Pierluigi

AU - Maddalo, Marta

AU - Russi, Elvio Grazioso

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AB - Re-irradiation has been increasingly offered as a potential effective treatment for head and neck squamous cell carcinoma (HNSCC) loco-regional recurrence as well as second primary tumor in previously irradiated area. This review focused on the role of postoperative re-irradiation (POreRT) in terms of feasibility, toxicity and long-term outcomes in HNSCC patients. The key issue for the research was formulated in two questions according to the PICO (population, intervention, control, and outcomes) criteria. A total of 16 publications met the inclusion criteria for a total of 919 patients; in 522 patients POreRT was performed. POreRT in recurrent and second primary HNSCC seems to be feasible in highly selected patients with the intent to guarantee an acceptable LC compared to surgery alone. The optimal RT schedule remains unclear due to the heterogeneity of literature data.

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