Marginal recurrences after selective targeting with intensity-modulated radiotherapy for oral tongue cancer Journal Article
| Authors: | Damast, S.; Wolden, S.; Lee, N. |
| Article Title: | Marginal recurrences after selective targeting with intensity-modulated radiotherapy for oral tongue cancer |
| Abstract: | Background No universal consensus of optimal radiation target coverage for oral tongue cancer exists, and there is wide variability in practice. Some centers use intensity-modulated radiotherapy (IMRT) to selectively target only certain regions at risk while sparing others; however, patterns of failure after such selective targeting are rarely reported. Methods and Results We critically examined the location of failure in 4 patients with stage III to IV oral tongue cancer who presented to our department with locoregional recurrence after receiving IMRT with selective radiation targeting at outside institutions. All 4 patients' cancer recurred marginally in regions that were not initially targeted, whereas the regions would have been targeted if comprehensive IMRT targeting had been used. The median time to recurrence was short (3.9 months; range, 1.2-10.1 months). Conclusion This case series highlights the occurrence of marginal failures after selective targeting with IMRT for oral tongue cancer and cautions against this practice unless further supporting evidence becomes available. Copyright © 2011 Wiley Periodicals, Inc. |
| Keywords: | adult; cancer chemotherapy; treatment outcome; aged; middle aged; cancer surgery; treatment failure; cancer recurrence; case report; intensity modulated radiation therapy; neck dissection; cisplatin; advanced cancer; cancer radiotherapy; chemotherapy, adjuvant; neoplasm recurrence, local; cetuximab; head and neck cancer; radiotherapy, intensity-modulated; quality assurance; radiotherapy, conformal; glossectomy; tongue cancer; tongue neoplasms; intensity-modulated radiation therapy; target volume delineation; oral cavity cancer; positron-emission tomography and computed tomography |
| Journal Title: | Head & Neck |
| Volume: | 34 |
| Issue: | 6 |
| ISSN: | 1043-3074 |
| Publisher: | John Wiley & Sons, Inc. |
| Date Published: | 2012-06-01 |
| Start Page: | 900 |
| End Page: | 906 |
| Language: | English |
| DOI: | 10.1002/hed.21677 |
| PROVIDER: | scopus |
| PUBMED: | 21284058 |
| DOI/URL: | |
| Notes: | --- - "Export Date: 4 June 2012" - "CODEN: HEANE" - "Source: Scopus" |
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