Volume 38, Issue 4 pp. 606-612
Original Article

Oncologic outcome of hypopharyngeal carcinoma treated with different modalities at 2 different university hospitals

Francesco Bussu MD

Francesco Bussu MD

Institute of Otorhinolaryngology, Policlinico Agostino Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy

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Federica Mura MD

Federica Mura MD

Institute of Otorhinolaryngology, Policlinico S. Matteo, Università di Pavia, Italy

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Francesco Miccichè MD

Francesco Miccichè MD

Institute of Radiotherapy, Policlinico Agostino Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy

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Giulia Bertino MD

Giulia Bertino MD

Institute of Otorhinolaryngology, Policlinico S. Matteo, Università di Pavia, Italy

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Antonio Occhini MD

Antonio Occhini MD

Institute of Otorhinolaryngology, Policlinico S. Matteo, Università di Pavia, Italy

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Giovanni Almadori MD

Giovanni Almadori MD

Institute of Otorhinolaryngology, Policlinico Agostino Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy

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Jacopo Galli MD

Jacopo Galli MD

Institute of Otorhinolaryngology, Policlinico Agostino Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy

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Manlio Pandolfini MD

Manlio Pandolfini MD

Institute of Otorhinolaryngology, Policlinico Agostino Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy

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Roberto Gallus MD

Corresponding Author

Roberto Gallus MD

Institute of Otorhinolaryngology, Policlinico Agostino Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy

Corresponding author: R. Gallus, Institute of Otorhinolaryngology, Università Cattolica-Policlinico Agostino Gemelli, 00168 Rome, Italy. E-mail: [email protected]Search for more papers by this author
Rosa Autorino MD

Rosa Autorino MD

Institute of Radiotherapy, Policlinico Agostino Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy

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Maria Lavinia Guidi MD

Maria Lavinia Guidi MD

Institute of Anesthesiology, Policlinico Agostino Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy

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Nicola Dinapoli MD

Nicola Dinapoli MD

Institute of Radiotherapy, Policlinico Agostino Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy

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Vincenzo Valentini MD

Vincenzo Valentini MD

Institute of Radiotherapy, Policlinico Agostino Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy

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Gaetano Paludetti MD

Gaetano Paludetti MD

Institute of Otorhinolaryngology, Policlinico Agostino Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy

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Marco Benazzo MD

Marco Benazzo MD

Institute of Otorhinolaryngology, Policlinico S. Matteo, Università di Pavia, Italy

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First published: 09 December 2014
Citations: 9

Abstract

Background

The hypopharynx is the site with the worst prognosis among head and neck squamous cell carcinomas (SCCs). The purpose of this study was to evaluate the oncologic outcomes of hypopharyngeal SCCs to identify the major clinical predictive factors and to compare the different primary therapeutic modalities.

Methods

The medical records of 123 consecutive patients diagnosed with primary resectable hypopharyngeal SCC were reviewed. The correlations of oncologic endpoints with tumor parameters and primary treatment were evaluated.

Results

The overall survival (OS) rate was 76% and the disease-specific survival (DSS) rate was 80% at 3 years in the entire group. Sex and T and N classifications significantly influenced survival in both univariate and multivariate analyses. Seventy-four percent of our patients underwent both surgery and radiotherapy (RT), and the temporal sequence of the 2 modalities did not affect prognosis.

Conclusion

The primary treatment modality in patients with resectable hypopharyngeal SCC did not affect prognosis in univariate and multivariate analyses for any stage considered. © 2015 Wiley Periodicals, Inc. Head Neck 38: 606–612, 2016

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