Head & Neck, Journal Year: 2024, Volume and Issue: unknown
Published: Dec. 27, 2024
ABSTRACT Background To investigate the management of recurrent head and neck squamous cell carcinoma (rHNSCC) describe survival outcomes. Methods Post hoc subgroup analysis a retrospective national observational cohort was conducted. All patients with rHNSCC who received definitive treatment decision between September 1, 2021 November 30, were included. Survival stratified according to subsite, primary versus disease, surgical nonsurgical treatment. Results Data from 202 derived 1488 submitted by 50 UK centers. Median age 66 years (IQR 58–74), 142 (70.3%) male. The most common recurrence subsites oropharynx (20.5%), oral cavity (19.5%), larynx (16.4%), hypopharynx (14.9%). Ninety‐three (48.4%) managed curatively. Surgery for laryngeal (59.4%), (60.5%), hypopharyngeal (44.8%), oropharyngeal (37.5%) cancers. Two‐year overall (OS), disease‐free (DFS), disease‐specific (DSS), local free (LRFS) 41.1%, 39.1%, 42.2%, 39.3%, respectively. treated surgery had improved OS ( p = 0.0005), DFS 0.012), DSS 0.0003), LRFS 0.007), over treatments. Compared cancers, presents more advanced T stage < 0.001) distant metastasis 0.001), receives less curative has worse outcomes (all 0.001). On multivariate analysis, salvage surgery, radiotherapy, p16 status independent prognostic factors all Conclusions Recurrent HNSCC is associated high rates incurable disease than remains in rHNSCC, however future studies are necessary improve patient selection optimize following
Language: Английский