Chia Nan University of Pharmacy & Science Institutional Repository:Item 310902800/34591
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    题名: The effect of adjuvant radiotherapy on clinical outcomes in early major salivary gland cancer
    作者: Hong, Wei-Ju
    Chang, Shih-Lun
    Tsai, Chia-Jen
    Wu, Hung-Chang
    Chen, Yi-Chen
    Yang, Ching-Chieh
    Ho, Chung-Han
    贡献者: Chi Mei Hospital
    Chi Mei Hospital
    Chung Hua University
    Chi Mei Hospital
    Department of Pharmacy, Chia Nan University of Pharmacy & Science
    Chi Mei Hospital
    Southern Taiwan University of Science & Technology
    关键词: postoperative radiation-therapy
    ex pleomorphic adenoma
    prognostic-factors
    parotid carcinoma
    survival
    surgery
    head
    tumors
    taiwan
    rates
    日期: 2022
    上传时间: 2023-12-11 13:59:31 (UTC+8)
    出版者: WILEY
    摘要: Background This study investigated the effects of adjuvant radiotherapy on outcomes in early-stage major salivary gland cancers. Methods A total of 655 patients were identified, including 355 (54.2%) received adjuvant radiotherapy and 300 (45.8%) had surgery alone. The effect of adjuvant radiotherapy on 5-year locoregional recurrence and disease-specific survival (DSS) was calculated using the Kaplan-Meier method, Wilcoxon rank sum test, and Cox proportional hazards model. Results There were no significant differences in locoregional recurrence and DSS between patients receiving adjuvant radiotherapy and those not in both univariate and multivariable analysis. Although patients with positive margin status had a higher locoregional recurrence and those with moderate/poor differentiation had a worse DSS, stratified analysis still indicated there were no protective effects from the use of adjuvant radiotherapy. Conclusions The use of adjuvant radiation therapy was not associated with improved locoregional recurrence and DSS, even for those with high-risk histopathological factors.
    關聯: Head and Neck-Journal for the Sciences and Specialties of the Head and Neck, v.44, n.12, pp.2865-2874
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