Survival study and treatment strategy for second primary tumors in the oral cavity in patients with nasopharyngeal carcinoma after definitive radiation

Authors

  • Ming Song MD,

    1. State Key Laboratory of Oncology in South China and Department of Head and Neck Surgery, Sun Yat–Sen University Cancer Center, Guangzhou, People's Republic of China
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    • Ming Song and Shi–Min Zhuang contributed equally to this work.

  • Shi-Min Zhuang MD,

    1. State Key Laboratory of Oncology in South China and Department of Head and Neck Surgery, Sun Yat–Sen University Cancer Center, Guangzhou, People's Republic of China
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    • Ming Song and Shi–Min Zhuang contributed equally to this work.

  • Shu-Wei Chen MD,

    1. State Key Laboratory of Oncology in South China and Department of Head and Neck Surgery, Sun Yat–Sen University Cancer Center, Guangzhou, People's Republic of China
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  • Quan Zhang MD,

    1. State Key Laboratory of Oncology in South China and Department of Head and Neck Surgery, Sun Yat–Sen University Cancer Center, Guangzhou, People's Republic of China
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  • An-Kui Yang MD,

    1. State Key Laboratory of Oncology in South China and Department of Head and Neck Surgery, Sun Yat–Sen University Cancer Center, Guangzhou, People's Republic of China
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  • Li-Ping Wang MD,

    1. State Key Laboratory of Oncology in South China and Department of Head and Neck Surgery, Sun Yat–Sen University Cancer Center, Guangzhou, People's Republic of China
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  • Zhu-Ming Guo MD

    Corresponding author
    1. State Key Laboratory of Oncology in South China and Department of Head and Neck Surgery, Sun Yat–Sen University Cancer Center, Guangzhou, People's Republic of China
    • State Key Laboratory of Oncology in South China and Department of Head and Neck Surgery, Sun Yat–Sen University Cancer Center, Guangzhou, People's Republic of China
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Abstract

Background

The purpose of this study was to investigate the clinicopathologic characteristics and prognostic factors of second primary tumors (SPTs) in the oral cavity in patients with nasopharyngeal carcinoma (NPC) after definitive radiation, and to determine an optimal treatment strategy for these patients.

Methods

This retrospective study enrolled consecutive patients who were admitted to the Sun Yat–Sen University Cancer Center between 1990 and 2005.

Results

The key prognostic factors influencing the survival were age when NPC was diagnosed, TNM stage, and surgery treatment modality. Multivariate analysis revealed that the clinical TNM stage was an independent risk factor for patient survival.

Conclusion

Clinical TNM stage was an independent prognostic factor that influenced the treatment outcome. Our data indicate that the survival of patients with SPTs in the oral cavity can be improved by modifying treatment strategy, and that surgery is preferred when SPTs are diagnosed at an earlier stage. © 2011 Wiley Periodicals, Inc. Head Neck, 2011

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