Yamazaki Hideya, Suzuki Gen, Aibe Norihiro, Shiomi Hiroya, Oh Ryoong-Jin, Yoshida Ken, Nakamura Satoaki, Ogita Mikio
Radiology, Kyoto Prefectural University of Medicine, Kyoto, JPN.
Radiation Oncology, Miyakojima Image Guided Radiation Therapy (IGRT) Clinic, Osaka, JPN.
Cureus. 2022 Feb 28;14(2):e22727. doi: 10.7759/cureus.22727. eCollection 2022 Feb.
We analyzed the efficacy and toxicity following reirradiation for locoregional recurrence of rare head and neck tumors. We retrospectively analyzed 17 patients who had received reirradiation for rare head and neck tumors. Primary tumor sites included nine ears (auditory organ), four salivary glands, and four orbits. The median follow-up time was 13.2 months for surviving patients. The median survival time was 12.6 months with one- and two-year survival rates of 53.1% and 44.3%, respectively. Nine out of 17 patients experienced local failure. The one- and two-year local control rates were 42.4% and 31.8%, respectively. The median survival times were 12.6, 5.3, and 11.0 months for orbit, auditory organ, and salivary glands, respectively. Three patients experienced grade 3 toxicity, including meningitis, brain necrosis, and facial nerve disorders. No grade ≥4 toxicities were observed. Reirradiation of rare head and neck tumors is feasible, with acceptable toxicity.
我们分析了对罕见头颈部肿瘤局部区域复发进行再照射后的疗效和毒性。我们回顾性分析了17例接受罕见头颈部肿瘤再照射的患者。原发肿瘤部位包括9例耳部(听觉器官)、4例唾液腺和4例眼眶。存活患者的中位随访时间为13.2个月。中位生存时间为12.6个月,1年和2年生存率分别为53.1%和44.3%。17例患者中有9例出现局部失败。1年和2年局部控制率分别为42.4%和31.8%。眼眶、听觉器官和唾液腺的中位生存时间分别为12.6个月、5.3个月和11.0个月。3例患者出现3级毒性反应,包括脑膜炎、脑坏死和面神经障碍。未观察到≥4级毒性反应。对罕见头颈部肿瘤进行再照射是可行的,毒性反应可接受。