PMID- 37009789 OWN - NLM STAT- MEDLINE DCOM- 20230512 LR - 20230514 IS - 1097-0347 (Electronic) IS - 1043-3074 (Linking) VI - 45 IP - 6 DP - 2023 Jun TI - Tumor volume as a predictor of survival in advanced laryngeal cancer treated with total laryngectomy. PG - 1376-1388 LID - 10.1002/hed.27351 [doi] AB - BACKGROUND: Recent literature shows that tumor volume (TV) in T3 laryngeal squamous cell carcinoma (LSCC) is associated with response to radiation therapy. The aim of this study was to evaluate the effect of TV on survival outcomes in patients undergoing total laryngectomy (TL). METHODS: One hundred and seventeen patients with LSCC undergoing TL between 2013 and 2020 at the University of Florida were included. TV was measured using a previously validated method on preoperative-CT scans. Multivariable CoxPH models for overall survival (OS) and disease-specific survival (DSS), metastasis-free survival (MFS), and recurrence-free survival (RFS) were developed with TV. RESULTS: Mean age was 61.5 years and 81.2% were male. Higher TV was associated with decreased OS, MFS, DSS, and RFS with adjusted hazard ratios 1.02 (95%CI: 1.01, 1.03), 1.01, (95%CI: 1.00, 1.03), 1.03 (95%CI: 1.01, 1.06), and 1.02 (95%CI: 1.00, 1.03) respectively. TV >7.1 cc had worse prognoses. CONCLUSIONS: TV appears associated with decreased survival in LSCC treated with TL. CI - (c) 2023 Wiley Periodicals LLC. FAU - Hanubal, Krishna S AU - Hanubal KS AUID- ORCID: 0000-0001-6825-9551 AD - College of Medicine, University of Florida, Gainesville, Florida, USA. FAU - Galochkina, Zhanna AU - Galochkina Z AD - Division of Quantitative Sciences, University of Florida Health Cancer Center, Gainesville, Florida, USA. FAU - Lee, Ji-Hyun AU - Lee JH AD - Division of Quantitative Sciences, University of Florida Health Cancer Center, Gainesville, Florida, USA. AD - Department of Biostatistics, University of Florida, Gainesville, Florida, USA. FAU - List, Marna A AU - List MA AD - College of Medicine, University of Florida, Gainesville, Florida, USA. FAU - Massini, Tara C AU - Massini TC AD - Department of Radiology, University of Florida, Gainesville, Florida, USA. FAU - Conrad, Dustin AU - Conrad D AD - Department of Otolaryngology, University of Florida, Gainesville, Florida, USA. FAU - Hughley, Brian AU - Hughley B AD - Department of Otolaryngology, University of Florida, Gainesville, Florida, USA. FAU - Danan, Deepa AU - Danan D AD - Department of Otolaryngology, University of Florida, Gainesville, Florida, USA. FAU - DeJesus, Reordan AU - DeJesus R AD - Department of Radiology, University of Florida, Gainesville, Florida, USA. FAU - Hitchcock, Kathryn AU - Hitchcock K AD - Department of Radiation Oncology, University of Florida, Gainesville, Florida, USA. AD - University of Florida Health Cancer Center, Gainesville, Florida, USA. FAU - Nichols, Spencer AU - Nichols S AUID- ORCID: 0000-0003-4657-7844 AD - College of Medicine, University of Florida, Gainesville, Florida, USA. FAU - Mendenhall, William AU - Mendenhall W AUID- ORCID: 0000-0002-6592-2810 AD - Department of Radiation Oncology, University of Florida, Gainesville, Florida, USA. AD - University of Florida Health Cancer Center, Gainesville, Florida, USA. FAU - Dziegielewski, Peter T AU - Dziegielewski PT AD - Department of Otolaryngology, University of Florida, Gainesville, Florida, USA. AD - University of Florida Health Cancer Center, Gainesville, Florida, USA. LA - eng PT - Journal Article DEP - 20230403 PL - United States TA - Head Neck JT - Head & neck JID - 8902541 SB - IM MH - Humans MH - Male MH - Middle Aged MH - Female MH - *Laryngeal Neoplasms/pathology MH - Laryngectomy/methods MH - Tumor Burden MH - *Carcinoma, Squamous Cell/pathology MH - Retrospective Studies MH - Squamous Cell Carcinoma of Head and Neck/pathology MH - *Head and Neck Neoplasms/pathology MH - Neoplasm Staging OTO - NOTNLM OT - laryngeal cancer OT - laryngectomy OT - radiation therapy OT - survival outcomes OT - tumor volume EDAT- 2023/04/04 06:00 MHDA- 2023/05/12 07:06 CRDT- 2023/04/03 05:34 PHST- 2023/03/08 00:00 [revised] PHST- 2022/08/26 00:00 [received] PHST- 2023/03/09 00:00 [accepted] PHST- 2023/05/12 07:06 [medline] PHST- 2023/04/04 06:00 [pubmed] PHST- 2023/04/03 05:34 [entrez] AID - 10.1002/hed.27351 [doi] PST - ppublish SO - Head Neck. 2023 Jun;45(6):1376-1388. doi: 10.1002/hed.27351. Epub 2023 Apr 3.