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Association of ipsilateral radiation therapy with contralateral lymph node failure in patients with squamous cell carcinoma of the oral cavity: A systematic review and meta‐analysis

Razavian, Niema B. ; Shenker, Rachel F. ; D'Agostino, Ralph B. ; Hughes, Ryan T.

Head & neck, 2023-08, Vol.45 (8), p.1967-1974 [Periódico revisado por pares]

Hoboken, USA: John Wiley & Sons, Inc

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Título:
Association of ipsilateral radiation therapy with contralateral lymph node failure in patients with squamous cell carcinoma of the oral cavity: A systematic review and meta‐analysis
Autor: Razavian, Niema B. ; Shenker, Rachel F. ; D'Agostino, Ralph B. ; Hughes, Ryan T.
Assuntos: Carcinoma, Squamous Cell - pathology ; Carcinoma, Squamous Cell - radiotherapy ; Head & neck cancer ; head and neck cancer ; Humans ; Lymph nodes ; Lymph Nodes - pathology ; Meta-analysis ; mouth neoplasms ; Mouth Neoplasms - pathology ; Mouth Neoplasms - radiotherapy ; Neoplasm Staging ; Oral cancer ; Oral carcinoma ; Oral cavity ; Radiation therapy ; radiotherapy ; Retrospective Studies ; Squamous cell carcinoma
É parte de: Head & neck, 2023-08, Vol.45 (8), p.1967-1974
Notas: This work was presented at the ACRO 2023 Annual Meeting on 16 March 2023.
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Descrição: Background Ipsilateral neck radiotherapy (INRT) is controversial in some patients with oral cavity cancer due to concern for contralateral neck failure (CNF). Methods A systematic review was performed and data were extracted following PRISMA guidelines. Outcomes were the rate of CNF following INRT and the rates of CNF by AJCC 7th ed. tumor and nodal staging. Results Fifteen studies consisting of 1825 patients were identified. Among the 805 patients treated with INRT, the rate of CNF was 5.7%. Patients with T4 tumors constituted 56% of all CNF cases. The rate of CNF increased by N stage (N0: 1.2%; N1: 3.8%; N2‐N3: 17.4%) and was significantly higher for patients with N2‐N3 than N0‐N1 disease (p < 0.001). Discussion INRT is associated with an overall low risk of CNF in well‐selected patients with N0‐N1 disease. Patients with N2‐3 and/or T4 disease should receive bilateral RT due to increased risk of CNF following INRT.
Editor: Hoboken, USA: John Wiley & Sons, Inc
Idioma: Inglês

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Association of ipsilateral radiation therapy with contralateral lymph node failure in patients with squamous cell carcinoma of the oral cavity: A systematic review and meta‐analysis

Razavian, Niema B. ; Shenker, Rachel F. ; D'Agostino, Ralph B. ; Hughes, Ryan T.

Hoboken, USA: John Wiley & Sons, Inc

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