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Title: ACR Appropriateness Criteria Retreatment of Recurrent Head and Neck Cancer After Prior Definitive Radiation

Abstract

Recurrent and second primary head-and-neck squamous cell carcinomas arising within or in close proximity to previously irradiated fields are a common clinical challenge. Whereas surgical salvage therapy is recommended for resectable disease, randomized data support the role of postoperative reirradiation in high-risk patients. Definitive reirradiation is an established approach for patients with recurrent disease who are medically or technically inoperable or decline radical surgery. The American College of Radiology Expert Panel on Head and Neck Cancer reviewed the relevant literature addressing re-treatment after prior definitive radiation and developed appropriateness criteria for representative clinical scenarios. Examples of unresectable recurrent disease and microscopic residual disease after salvage surgery were addressed. The panel evaluated the appropriateness of reirradiation, the integration of concurrent chemotherapy, radiation technique, treatment volume, dose, and fractionation. The panel emphasized the importance of patient selection and recommended evaluation and treatment at tertiary-care centers with a head-and-neck oncology team equipped with the resources and experience to manage the complexities and toxicities of re-treatment.

Authors:
 [1];  [2];  [3];  [4];  [5];  [6];  [7];  [8];  [9];  [10]
  1. University of California San Diego, La Jolla, California (United States)
  2. Montefiore Medical Center, Bronx, New York (United States)
  3. University of Pennsylvania, Philadelphia, Pennsylvania (United States)
  4. Fox Chase Cancer Center, Philadelphia, Pennsylvania and American College of Surgeons (United States)
  5. Emory University, Atlanta, Georgia and American Society of Clinical Oncology (Georgia)
  6. Duke University, Durham, North Carolina (United States)
  7. Montefiore Medical Center, Bronx, New York and American College of Surgeons (United States)
  8. University of Florida, Gainesville, Florida (United States)
  9. University of California San Francisco, San Francisco, California (United States)
  10. Emory University School of Medicine, Atlanta, Georgia (United States)
Publication Date:
OSTI Identifier:
21587636
Resource Type:
Journal Article
Journal Name:
International Journal of Radiation Oncology, Biology and Physics
Additional Journal Information:
Journal Volume: 80; Journal Issue: 5; Other Information: DOI: 10.1016/j.ijrobp.2011.02.014; PII: S0360-3016(11)00247-1; Copyright (c) 2011 Elsevier Science B.V., Amsterdam, The Netherlands, All rights reserved.; Country of input: International Atomic Energy Agency (IAEA); Journal ID: ISSN 0360-3016
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; CARCINOMAS; CHEMOTHERAPY; EVALUATION; FRACTIONATION; HEAD; NECK; RADIATION DOSES; RADIOTHERAPY; SURGERY; BODY; DISEASES; DOSES; MEDICINE; NEOPLASMS; NUCLEAR MEDICINE; RADIOLOGY; SEPARATION PROCESSES; THERAPY

Citation Formats

McDonald, Mark W., E-mail: mwmcdona@iupui.edu, Lawson, Joshua, Garg, Madhur Kumar, Quon, Harry, Ridge, John A, Saba, Nabil, Salama, Joseph K, Smith, Richard V, Yeung, Anamaria Reyna, Yom, Sue S, and Beitler, Jonathan J. ACR Appropriateness Criteria Retreatment of Recurrent Head and Neck Cancer After Prior Definitive Radiation. United States: N. p., 2011. Web. doi:10.1016/j.ijrobp.2011.02.014.
McDonald, Mark W., E-mail: mwmcdona@iupui.edu, Lawson, Joshua, Garg, Madhur Kumar, Quon, Harry, Ridge, John A, Saba, Nabil, Salama, Joseph K, Smith, Richard V, Yeung, Anamaria Reyna, Yom, Sue S, & Beitler, Jonathan J. ACR Appropriateness Criteria Retreatment of Recurrent Head and Neck Cancer After Prior Definitive Radiation. United States. https://doi.org/10.1016/j.ijrobp.2011.02.014
McDonald, Mark W., E-mail: mwmcdona@iupui.edu, Lawson, Joshua, Garg, Madhur Kumar, Quon, Harry, Ridge, John A, Saba, Nabil, Salama, Joseph K, Smith, Richard V, Yeung, Anamaria Reyna, Yom, Sue S, and Beitler, Jonathan J. 2011. "ACR Appropriateness Criteria Retreatment of Recurrent Head and Neck Cancer After Prior Definitive Radiation". United States. https://doi.org/10.1016/j.ijrobp.2011.02.014.
@article{osti_21587636,
title = {ACR Appropriateness Criteria Retreatment of Recurrent Head and Neck Cancer After Prior Definitive Radiation},
author = {McDonald, Mark W., E-mail: mwmcdona@iupui.edu and Lawson, Joshua and Garg, Madhur Kumar and Quon, Harry and Ridge, John A and Saba, Nabil and Salama, Joseph K and Smith, Richard V and Yeung, Anamaria Reyna and Yom, Sue S and Beitler, Jonathan J},
abstractNote = {Recurrent and second primary head-and-neck squamous cell carcinomas arising within or in close proximity to previously irradiated fields are a common clinical challenge. Whereas surgical salvage therapy is recommended for resectable disease, randomized data support the role of postoperative reirradiation in high-risk patients. Definitive reirradiation is an established approach for patients with recurrent disease who are medically or technically inoperable or decline radical surgery. The American College of Radiology Expert Panel on Head and Neck Cancer reviewed the relevant literature addressing re-treatment after prior definitive radiation and developed appropriateness criteria for representative clinical scenarios. Examples of unresectable recurrent disease and microscopic residual disease after salvage surgery were addressed. The panel evaluated the appropriateness of reirradiation, the integration of concurrent chemotherapy, radiation technique, treatment volume, dose, and fractionation. The panel emphasized the importance of patient selection and recommended evaluation and treatment at tertiary-care centers with a head-and-neck oncology team equipped with the resources and experience to manage the complexities and toxicities of re-treatment.},
doi = {10.1016/j.ijrobp.2011.02.014},
url = {https://www.osti.gov/biblio/21587636}, journal = {International Journal of Radiation Oncology, Biology and Physics},
issn = {0360-3016},
number = 5,
volume = 80,
place = {United States},
year = {Mon Aug 01 00:00:00 EDT 2011},
month = {Mon Aug 01 00:00:00 EDT 2011}
}