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Definitive radiotherapy for early-stage hypopharyngeal squamous cell carcinoma.
[esophageal carcinoma]
The
present
study
analyzed
the
outcomes
of
patients
with
early
-
stage
hypopharyngeal
squamous
cell
carcinoma
(
HPSCC
)
treated
with
radical
radiotherapy
(
RT
)
or
concurrent
chemoradiotherapy
(
CCRT
)
.
We
retrospectively
reviewed
the
clinical
records
of
33
patients
with
early
-
stage
HPSCC
who
underwent
RT
or
CCRT
between
January
1999
and
December
2011
.
Of
the
33
patients
who
were
treated
,
12
had
Stage
I
and
21
had
Stage
II
disease
.
Patients
with
Stage
I
were
typically
treated
with
RT
,
while
patients
with
Stage
II
were
treated
with
CCRT
(
concurrent
chemotherapy
:
5
FU
,
cisplatin
or
TS
-
1
)
.
The
median
follow-up
period
was
81
months
,
ranging
from
15
to
155
months
.
The
5
-
year
overall
survival
rates
,
cause
specific
survival
rates
,
locoregional
control
rates
,
and
progression-free
survival
rates
were
58
,
75
,
56
,
and
49
Â
%
,
respectively
.
Of
the
33
patients
,
51
Â
%
experienced
second
primary
malignancies
.
Esophageal
carcinoma
occurred
in
several
cases
,
and
was
diagnosed
either
during
screening
after
treatment
for
the
second
primary
malignancy
or
simultaneously
with
the
second
primary
malignancy
.
Advanced
-
stage
second
malignancies
significantly
influenced
the
survival
of
the
patients
and
the
control
rate
for
HPSCC
.
Treatment
emphasizing
the
quality
of
life
after
treatment
is
needed
,
if
a
poor
prognosis
is
expected
because
of
advanced
-
stage
second
primary
malignancy
.
Diseases
Validation
Diseases presenting
"poor prognosis"
symptom
adrenal incidentaloma
alexander disease
alpha-thalassemia
carcinoma of the gallbladder
cholangiocarcinoma
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
erdheim-chester disease
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
hodgkin lymphoma, classical
junctional epidermolysis bullosa
kindler syndrome
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
malignant atrophic papulosis
megacystis-microcolon-intestinal hypoperistalsis syndrome
papillon-lefèvre syndrome
pleomorphic liposarcoma
primary effusion lymphoma
pyomyositis
sneddon syndrome
systemic capillary leak syndrome
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wiskott-aldrich syndrome
zellweger syndrome
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