PMID- 32031301 OWN - NLM STAT- MEDLINE DCOM- 20210621 LR - 20210621 IS - 1097-0347 (Electronic) IS - 1043-3074 (Linking) VI - 42 IP - 8 DP - 2020 Aug TI - Efficacy and safety of accelerated fractionated radiotherapy without elective nodal irradiation for T3N0 glottic cancer without vocal cord fixation. PG - 1775-1782 LID - 10.1002/hed.26092 [doi] AB - BACKGROUND: The purpose of this study was to evaluate accelerated fractionated radiotherapy (AFRT) without elective nodal irradiation (ENI) for T3N0 glottic cancer (GC) without vocal cord fixation, especially in comparison with chemoradiotherapy (CRT) and hyperfractionated radiotherapy (HFRT) both of which included ENI. METHODS: The medical charts of patients with T3N0GC without cord fixation received definitive radiotherapy between June 2005 and March 2018 were reviewed. RESULTS: A total of 74 patients were analyzed. After a median follow-up time of 46 months (range, 12-141), 3-year local failure in AFRT/CRT/HFRT (n = 41/10/23) was 10%/20%/26%, 3-year regional failure 6%/0%/9%, 3-year progression-free survival 71%/69%/74%, and 3-year overall survival 77%/100%/87%. There were no significant differences among three groups in recurrence or survival. Grade 3 adverse events (AEs) were noted in 5/2/8 patients (12%/20%/35%) in AFRT/CRT/HFRT, respectively. There were no Grade 4/5 AEs. CONCLUSIONS: AFRT without ENI is an effective and feasible treatment for T3N0GC without cord fixation. CI - (c) 2020 Wiley Periodicals, Inc. FAU - Okumura, Masayuki AU - Okumura M AUID- ORCID: 0000-0002-9842-165X AD - Department of Radiation Oncology, National Cancer Center Hospital East, Chiba, Japan. AD - Department of Radiology, Nagoya University Graduate School of Medicine, Aichi, Japan. FAU - Motegi, Atsushi AU - Motegi A AUID- ORCID: 0000-0001-5231-6443 AD - Department of Radiation Oncology, National Cancer Center Hospital East, Chiba, Japan. FAU - Zenda, Sadamoto AU - Zenda S AD - Department of Radiation Oncology, National Cancer Center Hospital East, Chiba, Japan. FAU - Nakamura, Naoki AU - Nakamura N AD - Department of Radiation Oncology, National Cancer Center Hospital East, Chiba, Japan. FAU - Hojo, Hidehiro AU - Hojo H AD - Department of Radiation Oncology, National Cancer Center Hospital East, Chiba, Japan. FAU - Nakamura, Masaki AU - Nakamura M AD - Department of Radiation Oncology, National Cancer Center Hospital East, Chiba, Japan. FAU - Hirano, Yasuhiro AU - Hirano Y AD - Department of Radiation Oncology, National Cancer Center Hospital East, Chiba, Japan. FAU - Kageyama, Shun-Ichiro AU - Kageyama SI AD - Department of Radiation Oncology, National Cancer Center Hospital East, Chiba, Japan. FAU - Arahira, Satoko AU - Arahira S AD - Department of Radiation Oncology, National Cancer Center Hospital East, Chiba, Japan. FAU - Parshuram, Raturi Vijay AU - Parshuram RV AUID- ORCID: 0000-0002-1687-1957 AD - Department of Radiation Oncology, National Cancer Center Hospital East, Chiba, Japan. FAU - Kuno, Hirofumi AU - Kuno H AD - Department of Diagnostic Radiology, National Cancer Center Hospital East, Chiba, Japan. FAU - Hayashi, Ryuichi AU - Hayashi R AD - Department of Head and Neck Surgery, National Cancer Center Hospital East, Chiba, Japan. FAU - Tahara, Makoto AU - Tahara M AD - Department of Head and Neck Medical Oncology, National Cancer Center Hospital East, Chiba, Japan. FAU - Itoh, Yoshiyuki AU - Itoh Y AD - Department of Radiology, Nagoya University Graduate School of Medicine, Aichi, Japan. FAU - Naganawa, Shinji AU - Naganawa S AD - Department of Radiology, Nagoya University Graduate School of Medicine, Aichi, Japan. FAU - Akimoto, Tetsuo AU - Akimoto T AD - Department of Radiation Oncology, National Cancer Center Hospital East, Chiba, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200207 PL - United States TA - Head Neck JT - Head & neck JID - 8902541 SB - IM MH - Chemoradiotherapy MH - Dose Fractionation, Radiation MH - Humans MH - *Laryngeal Neoplasms/radiotherapy MH - Neoplasm Recurrence, Local MH - *Vocal Cords OTO - NOTNLM OT - T3 N0 category OT - accelerated fractionated radiotherapy OT - chemoradiotherapy OT - glottic cancer OT - hyperfractionated radiotherapy EDAT- 2020/02/08 06:00 MHDA- 2021/06/22 06:00 CRDT- 2020/02/08 06:00 PHST- 2019/09/16 00:00 [received] PHST- 2019/12/18 00:00 [revised] PHST- 2020/01/15 00:00 [accepted] PHST- 2020/02/08 06:00 [pubmed] PHST- 2021/06/22 06:00 [medline] PHST- 2020/02/08 06:00 [entrez] AID - 10.1002/hed.26092 [doi] PST - ppublish SO - Head Neck. 2020 Aug;42(8):1775-1782. doi: 10.1002/hed.26092. Epub 2020 Feb 7.