PMID- 38274723 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240128 IS - 1920-454X (Electronic) IS - 1920-4531 (Print) IS - 1920-4531 (Linking) VI - 15 IP - 1 DP - 2024 Feb TI - Clinical Outcomes of Curative Intent Radiotherapy by Helical Tomotherapy for Laryngeal Squamous Cell Carcinoma: A Retrospective Analysis in a Tertiary Referral Center. PG - 136-142 LID - 10.14740/wjon1638 [doi] AB - BACKGROUND: The management of laryngeal cancer involves balancing curative treatment with preserving essential functions. This study aimed to evaluate the clinical outcomes of helical tomotherapy, an advanced form of radiation therapy, as a primary treatment modality for laryngeal squamous cell carcinoma (LSCC). METHODS: A retrospective analysis of data obtained from a tertiary referral center was performed to assess treatment response rates, survival outcomes, disease control, and treatment-related adverse events. RESULTS: The study included 45 patients with LSCC treated with helical tomotherapy between May 2015 and September 2022. The 5-year overall survival (OS) rate and disease-free survival (DFS) rate were 89.2% and 71.1%, respectively. Local control and laryngeal preservation rates at 5 years were 79.7% and 84.7%, respectively. Subgroup analysis revealed higher DFS rates in early-stage patients (84.2%) compared to advanced-stage patients (58.9%). CONCLUSIONS: The results indicate that helical tomotherapy offers effective tumor control and potential for laryngeal preservation in LSCC. Further prospective studies and longer follow-up are needed to validate these findings and optimize treatment strategies for LSCC patients. CI - Copyright 2024, Katano et al. FAU - Katano, Atsuto AU - Katano A AUID- ORCID: 0000-0003-4393-1828 AD - Department of Radiology, the University of Tokyo Hospital, Tokyo, Japan. FAU - Yamashita, Hideomi AU - Yamashita H AD - Department of Radiology, the University of Tokyo Hospital, Tokyo, Japan. LA - eng PT - Journal Article DEP - 20231209 PL - Canada TA - World J Oncol JT - World journal of oncology JID - 101564097 PMC - PMC10807912 OTO - NOTNLM OT - Helical tomotherapy OT - Laryngeal squamous cell carcinoma OT - Radiation therapy OT - Survival rate COIS- None to declare. EDAT- 2024/01/26 06:44 MHDA- 2024/01/26 06:45 PMCR- 2023/12/09 CRDT- 2024/01/26 03:58 PHST- 2023/10/19 00:00 [received] PHST- 2023/11/21 00:00 [accepted] PHST- 2024/01/26 06:45 [medline] PHST- 2024/01/26 06:44 [pubmed] PHST- 2024/01/26 03:58 [entrez] PHST- 2023/12/09 00:00 [pmc-release] AID - 10.14740/wjon1638 [doi] PST - ppublish SO - World J Oncol. 2024 Feb;15(1):136-142. doi: 10.14740/wjon1638. Epub 2023 Dec 9.