PMID- 30409302 OWN - NLM STAT- MEDLINE DCOM- 20191213 LR - 20191217 IS - 1879-0593 (Electronic) IS - 1368-8375 (Linking) VI - 86 DP - 2018 Nov TI - From VA Larynx to the future of chemoselection: Defining the role of induction chemotherapy in larynx cancer. PG - 200-205 LID - S1368-8375(18)30349-X [pii] LID - 10.1016/j.oraloncology.2018.09.026 [doi] AB - Organ preservation protocols utilizing induction chemotherapy as a selection agent have played a critical role in the treatment of advanced laryngeal squamous cell carcinoma (LSCC). The selection of patients who will have a good response to chemoradiation allows for organ preservation in a significant group of patients and minimizes the rate of surgical salvage. While there remains debate regarding its utility when compared to surgery or other organ preservation regimens, the data does suggest an important role for induction chemotherapy in LSCC. In addition, there are continued opportunities to identify pretreatment biomarkers for induction chemotherapy, whether genetic, epigenetic or cellular, that could predict response to treatment and select patients to therapy (whether organ preservation or surgery). As our understanding of the biology of larynx cancer advances, induction paradigms have utility for the development and adoption of novel agents and therapeutics. The background of induction chemotherapy as a selection agent and future directions of this approach are discussed. CI - Copyright (c) 2018 Elsevier Ltd. All rights reserved. FAU - Spector, Matthew E AU - Spector ME AD - Department of Otolaryngology - Head and Neck Surgery, United States; Comprehensive Cancer Center, University of Michigan Medical School, Ann Arbor, MI, United States. Electronic address: mspector@umich.edu. FAU - Rosko, Andrew J AU - Rosko AJ AD - Department of Otolaryngology - Head and Neck Surgery, United States; Comprehensive Cancer Center, University of Michigan Medical School, Ann Arbor, MI, United States. FAU - Swiecicki, Paul L AU - Swiecicki PL AD - Department of Otolaryngology - Head and Neck Surgery, United States; Department of Internal Medicine, Division of Hematology and Oncology, United States. FAU - Chad Brenner, J AU - Chad Brenner J AD - Department of Otolaryngology - Head and Neck Surgery, United States; Comprehensive Cancer Center, University of Michigan Medical School, Ann Arbor, MI, United States. FAU - Birkeland, Andrew C AU - Birkeland AC AD - Department of Otolaryngology - Head and Neck Surgery, United States; Comprehensive Cancer Center, University of Michigan Medical School, Ann Arbor, MI, United States. LA - eng PT - Journal Article PT - Review DEP - 20181001 PL - England TA - Oral Oncol JT - Oral oncology JID - 9709118 RN - U3P01618RT (Fluorouracil) SB - IM MH - Antineoplastic Combined Chemotherapy Protocols/*therapeutic use MH - Chemotherapy, Adjuvant/methods/trends MH - Clinical Trials, Phase III as Topic MH - Disease-Free Survival MH - Fluorouracil MH - Humans MH - Induction Chemotherapy/*methods/trends MH - Laryngeal Neoplasms/mortality/pathology/*therapy MH - Laryngectomy/methods/trends MH - Larynx/pathology/surgery MH - Neoplasm Staging MH - Organ Sparing Treatments/methods/trends MH - *Patient Selection MH - Randomized Controlled Trials as Topic MH - Squamous Cell Carcinoma of Head and Neck/mortality/pathology/*therapy MH - United States MH - United States Department of Veterans Affairs OTO - NOTNLM OT - Advanced laryngeal squamous cell carcinoma OT - Chemoselection OT - Induction selection OT - Organ preservation therapy EDAT- 2018/11/10 06:00 MHDA- 2019/12/18 06:00 CRDT- 2018/11/10 06:00 PHST- 2018/06/24 00:00 [received] PHST- 2018/09/11 00:00 [revised] PHST- 2018/09/18 00:00 [accepted] PHST- 2018/11/10 06:00 [entrez] PHST- 2018/11/10 06:00 [pubmed] PHST- 2019/12/18 06:00 [medline] AID - S1368-8375(18)30349-X [pii] AID - 10.1016/j.oraloncology.2018.09.026 [doi] PST - ppublish SO - Oral Oncol. 2018 Nov;86:200-205. doi: 10.1016/j.oraloncology.2018.09.026. Epub 2018 Oct 1.