Salvage treatment for oropharyngeal squamous cell carcinoma

Authors

  • Joselina Antunes Serviço de Otorrinolaringologia, Hospital Prof. Dr. Fernando Fonseca, Portugal https://orcid.org/0000-0003-2706-332X
  • Pedro Alexandre Serviço de Otorrinolaringologia, Centro Hospitalar Universitário de São João, Portugal
  • Luís Rodrigues Serviço de Otorrinolaringologia, Hospital Beatriz Ângelo, Portugal
  • Sara Ramalho Serviço de Otorrinolaringologia, Instituto Português de Oncologia de Lisboa, Portugal
  • Pedro Montalvão Serviço de Otorrinolaringologia, Instituto Português de Oncologia de Lisboa, Portugal
  • Miguel Magalhães Serviço de Otorrinolaringologia, Instituto Português de Oncologia de Lisboa, Portugal

DOI:

https://doi.org/10.34631/sporl.1071

Keywords:

Squamous cell carcinoma, Oropharyngeal neoplasms, Salvage therapy, Recurrence

Abstract

Objectives: Evaluate salvage surgery efficiency for treatment of residual/recurrent oropharyngeal squamous cell carcinoma after radiotherapy or chemorradiotherapy.

Methods: Retrospective study that included patients followed at Instituto Português de Oncologia de Lisboa Francisco Gentil, between 2010 and 2021. The study included 160 patients with diagnosis of squamous cell carcinoma of oropharynx, from which 44 patients with  diagnosis of residual/recurrent tumor were selected.

Results: Diagnosis of residual/recurrent disease was made in 27,5% of the population initially selected. Between the ones that had local residual/recurrent disease, 8 patients (53,3%) were submitted to surgery, with a three-year overall survival of 50,0%, and the remaining 7 patients did not have favorable surgical conditions.

Conclusions: Salvage surgery for treatment of residual/recurrent oropharyngeal squamous cell carcinoma is one of the available treatments with best survival rates. Despite the aforementioned, survival rates are limited and depend on surgical margins, so this kind of treatment should be carefully considered.

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Published

2022-12-18

How to Cite

Antunes, J., Alexandre, P., Rodrigues, L., Ramalho, S., Montalvão, P., & Magalhães, M. (2022). Salvage treatment for oropharyngeal squamous cell carcinoma. Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery, 60(4), 375–383. https://doi.org/10.34631/sporl.1071

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Section

Original Article