Radiation-Induced Sarcomas of the Head and Neck: A Systematic Review.
Head and neck
Radiation-induced
Radiotherapy
Sarcoma
Surgical treatment
Journal
Advances in therapy
ISSN: 1865-8652
Titre abrégé: Adv Ther
Pays: United States
ID NLM: 8611864
Informations de publication
Date de publication:
01 2021
01 2021
Historique:
received:
06
10
2020
accepted:
28
10
2020
pubmed:
14
11
2020
medline:
15
4
2021
entrez:
13
11
2020
Statut:
ppublish
Résumé
As a result of the increased use of radiotherapy (RT) and improved long-term overall survival of patients with cancers of the head and neck (HN), the frequency of radiation-induced sarcomas of the head and neck (RISHN) may be increasing. The main objective of this systematic review was to determine the existing evidence on the frequency, treatment, and outcome of RISHN. Using PRISMA guidelines we conducted a systematic review of the literature published from 2000 to 2020. Our review includes data of 560 patients from 64 articles. The total frequency of RISHNs among the reviewed series was 0.15%. The most frequent location of the primary tumor treated by RT was the nasopharynx. The mean RT dose used was 62 Gy, mean latency interval between irradiation and occurrence of RISHN was 11.1 years, and the most common RISHN location was the sinonasal region. Osteosarcoma was the principal histology, followed by fibrosarcoma. Surgery was the most frequently applied treatment modality. Of all patients with RISHN, 40.7% died of this disease after a mean interval of 13.9 months. Notwithstanding the increased use of RT, the number of reported RISHNs has not increased substantially during the past two decades. Surgery with wide margins forms the best therapeutic option for these cases, but the outcome remains poor.
Identifiants
pubmed: 33184778
doi: 10.1007/s12325-020-01556-y
pii: 10.1007/s12325-020-01556-y
pmc: PMC7854400
doi:
Types de publication
Journal Article
Review
Systematic Review
Langues
eng
Pagination
90-108Références
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