Opportunities and Limits in Salvage Surgery in Persistent or Recurrent Head and Neck Squamous Cell Carcinoma
- PMID: 34070089
- PMCID: PMC8158391
- DOI: 10.3390/cancers13102457
Opportunities and Limits in Salvage Surgery in Persistent or Recurrent Head and Neck Squamous Cell Carcinoma
Abstract
Except for HPV-induced cancers of the oropharynx, survival rates in patients with squamous cell carcinoma of the head and neck (HNSCC) have not changed substantially over the last decades. Salvage surgery plays an important role where primary treatment was unsuccessful since 50% of advanced-stage patients relapse after nonsurgical primary treatment. Depending on a variety of factors, a considerable number of patients in whom primary treatment was not successful can still be cured by salvage surgery. It is the goal of this review to elucidate these factors with the aim to counsel patients and their relatives realistically about the chances of being cured.
Keywords: cancer persistence; cancer recurrence; head and neck cancer; salvage surgery; squamous cell carcinoma; treatment failure.
Conflict of interest statement
Gerhard Huber declares that he has no conflict of interest.
Similar articles
-
Salvage surgery for advanced stage head and neck squamous cell carcinoma following radiotherapy or chemoradiation.Eur Arch Otorhinolaryngol. 2019 Mar;276(3):647-655. doi: 10.1007/s00405-019-05292-0. Epub 2019 Jan 23. Eur Arch Otorhinolaryngol. 2019. PMID: 30673847
-
Success of salvage treatment: a critical appraisal of salvage rates for different subsites of HNSCC.Otolaryngol Head Neck Surg. 2014 Sep;151(3):454-61. doi: 10.1177/0194599814535183. Epub 2014 Jun 3. Otolaryngol Head Neck Surg. 2014. PMID: 24894422
-
Recurrent advanced (T3 or T4) head and neck squamous cell carcinoma: is salvage possible?Arch Otolaryngol Head Neck Surg. 2004 Jan;130(1):35-8. doi: 10.1001/archotol.130.1.35. Arch Otolaryngol Head Neck Surg. 2004. PMID: 14732765
-
Salvage of recurrent head and neck squamous cell carcinoma after primary curative surgery.Head Neck. 2003 Nov;25(11):953-9. doi: 10.1002/hed.10310. Head Neck. 2003. PMID: 14603456
-
Review of Outcomes after Salvage Surgery for Recurrent Squamous Cell Carcinoma of the Head and Neck.Cancers (Basel). 2023 Sep 23;15(19):4692. doi: 10.3390/cancers15194692. Cancers (Basel). 2023. PMID: 37835386 Free PMC article. Review.
Cited by
-
Correlation Between Early Time-to-Event Outcomes and Overall Survival in Patients With Locally Advanced Head and Neck Squamous Cell Carcinoma Receiving Definitive Chemoradiation Therapy: Systematic Review and Meta-Analysis.Front Oncol. 2022 Apr 28;12:868490. doi: 10.3389/fonc.2022.868490. eCollection 2022. Front Oncol. 2022. PMID: 35574411 Free PMC article.
-
Outcomes Stratification of Head and Neck Cancer Using Pre- and Post-treatment DNA Methylation From Peripheral Blood.Int J Radiat Oncol Biol Phys. 2023 Apr 1;115(5):1217-1228. doi: 10.1016/j.ijrobp.2022.11.009. Epub 2022 Nov 21. Int J Radiat Oncol Biol Phys. 2023. PMID: 36410685 Free PMC article. Clinical Trial.
References
-
- Wolf G.T., Fisher S.G., Hong W.K., Hillman R., Spaulding M., Laramore G.E., Endicott J.W., McClatchey K., Henderson W.G. Induction chemotherapy plus radiation compared with surgery plus radiation in patients with advanced laryngeal cancer. Department of Veterans Affairs Laryngeal Cancer Study Group. N. Engl. J. Med. 1991;324:1685–1690. - PubMed
-
- Gupta T., Master Z., Kannan S., Agarwal J.P., Ghsoh-Laskar S., Rangarajan V., Murthy V., Budrukkar A. Diagnostic performance of post-treatment FDG PET or FDG PET/CT imaging in head and neck cancer: A systematic review and meta-analysis. Eur. J. Nucl. Med. Mol. Imaging. 2011;38:2083–2095. doi: 10.1007/s00259-011-1893-y. - DOI - PubMed
LinkOut - more resources
Full Text Sources