Advanced carcinoma of the oropharynx: survival analysis comparing two treatment modalities

dc.creatorPatrícia Carlos Caldeira
dc.creatorMara Juliana Fagundes Bonardi
dc.creatorEsther Rodrigues Mansur Pantuzzo
dc.creatorJoão Marcos Arantes Soares
dc.creatorAndrea María López Soto
dc.creatorMaria Cássia Ferreira Aguiar
dc.creatorAlexandre de Andrade Sousa
dc.date.accessioned2024-01-08T19:14:50Z
dc.date.accessioned2025-09-09T00:27:21Z
dc.date.available2024-01-08T19:14:50Z
dc.date.issued2020
dc.format.mimetypepdf
dc.identifier.doi10.1590/1807-3107bor-2020.vol34.0032
dc.identifier.issn18073107
dc.identifier.urihttps://hdl.handle.net/1843/62484
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofBrazilian Oral Research
dc.rightsAcesso Aberto
dc.subjectOropharynx
dc.subjectOropharyngeal Neoplasms
dc.subjectNeoplasms, Squamous Cell
dc.subjectTherapeutics
dc.subjectSurvival Rate
dc.subject.otherOropharynx
dc.subject.otherOropharyngeal Neoplasms
dc.subject.otherTherapeutics
dc.subject.otherSurvival
dc.subject.otherSquamous cell carcinoma
dc.titleAdvanced carcinoma of the oropharynx: survival analysis comparing two treatment modalities
dc.typeArtigo de periódico
local.citation.epage9
local.citation.issuee032
local.citation.spage1
local.citation.volume34
local.description.resumoAbout 92,000 new cases of oropharynx carcinoma are expected to occur annually worldwide. There is no consensus about the best therapy for these advanced tumors. The objective of the present study was to evaluate overall and disease-free survival rates of patients with advanced oropharynx squamous cell carcinoma, comparing surgery + radiotherapy with chemotherapy + radiotherapy. Medical records of patients were reviewed. Previously treated tumors were excluded. Clinical, demographic and microscopic information was collected, and p16 staining was performed. Kaplan-Meier survival curves were plotted. Forty-seven cases were included, 41 men and 6 women, having a mean age of 56.3 years. Most patients were smokers (85.1%) and consumed alcohol (74.5%). Patients were stage III (21.3%) or IV (78.7%). Most lesions affected the base of the tongue (36.2%). Of the 23 cases available for p16 testing, 3 were positive (13.0%). There was no difference between the overall and the disease-free survival rates for the two treatment modalities (p>0.05), even when only resectable tumors were compared. Seventeen cases experienced recurrence (36.2%); 16 (34.0%) patients remained alive without disease; 15 (31.9%) died due to disease; 9 (19.2%) were recurrent at the last follow-up. The two treatment protocols were equally efficient in treating advanced oropharynx squamous cell carcinoma, since both promoted similar overall and disease-free survival rates. The results and interpretations related herein mostly regard “conventional” oropharyngeal squamous cell carcinomas, as opposed to HPV-associated tumors
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE CIRURGIA
local.publisher.initialsUFMG
local.url.externahttps://doi.org/10.1590/1807-3107bor-2020.vol34.0032

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