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Patterns of failure and results of preoperative irradiation vs radiation therapy alone in carcinoma of the pyriform sinus

Conference · · Int. J. Radiat. Oncol., Biol. Phys.; (United States)
OSTI ID:6784135
 [1];
  1. Veterans Administration Medical Center, WI
From 1968 to 1977, 53 of 78 patients with carcinoma of the pyriform sinus completed planned therapy and were eligible for followup a minimum of two years. Of the 53, 35 (66%) were treated with high dose preoperative irradiation and surgery, while 18 (33%) were treated with radiation therapy alone. The radiation therapy fields for both groups were reviewed for adequacy of coverage of the known and potential tumor volume and of all the failures in the primary site and nodes, 17% were felt to be at the margin of the irradiated field. There was a 34% (12 of 35) rate of pharyngocutaneous fistulae with the combined therapy. Three of the 12 fistulae were a result of recurrent tumor and 2 of these had carotid rupture.
OSTI ID:
6784135
Conference Information:
Journal Name: Int. J. Radiat. Oncol., Biol. Phys.; (United States) Journal Volume: 6:9
Country of Publication:
United States
Language:
English