Neutron therapy, prognostic factors and dedifferentiation of adenoid cystic carcinomas (ACC) of salivary glands
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Neutron therapy, prognostic factors and dedifferentiation of adenoid cystic carcinomas (ACC) of salivary glands. / Brackrock, Sophie; Krüll, Andreas; Röser, Kerstin; Schwarz, Rudolf; Riethdorf, Lutz; Alberti, Winfried.
In: ANTICANCER RES, Vol. 25, No. 2B, 04.05.2005, p. 1321-6.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Neutron therapy, prognostic factors and dedifferentiation of adenoid cystic carcinomas (ACC) of salivary glands
AU - Brackrock, Sophie
AU - Krüll, Andreas
AU - Röser, Kerstin
AU - Schwarz, Rudolf
AU - Riethdorf, Lutz
AU - Alberti, Winfried
PY - 2005/5/4
Y1 - 2005/5/4
N2 - PURPOSE: Analysis of the efficacy of fast neutron radiotherapy in the treatment of adenoid cystic carcinomas (ACC) of the salivary glands, identification of prognostic variables and dedifferentiation after radiotherapy.PATIENTS AND METHODS: Histological slides of primary and recurrent lesions of 71 patients were reviewed to confirm the diagnosis and to analyse subtypes. Median follow-up was 52 months. Local control rate and overall survival were analysed in multivariate analysis. Complications are also described.RESULTS: Primary vs. recurrent therapy (p=0.001), margin-status (p=0.01) and subtype (p=0.019) influenced overall survival. Primary vs. recurrent therapy (p=0.001), margin-status (p=0.018) and T-stage (p=0.043) influenced local control rate. Dedifferentiation was seen in only 1/17 cases.CONCLUSION: The calculated prognostic factors illustrate the importance of a radical primary therapy. Histological subtype is a significant additional factor for overall survival and, in case of dedifferentiation, it is a strong predictor of a detrimental outcome.
AB - PURPOSE: Analysis of the efficacy of fast neutron radiotherapy in the treatment of adenoid cystic carcinomas (ACC) of the salivary glands, identification of prognostic variables and dedifferentiation after radiotherapy.PATIENTS AND METHODS: Histological slides of primary and recurrent lesions of 71 patients were reviewed to confirm the diagnosis and to analyse subtypes. Median follow-up was 52 months. Local control rate and overall survival were analysed in multivariate analysis. Complications are also described.RESULTS: Primary vs. recurrent therapy (p=0.001), margin-status (p=0.01) and subtype (p=0.019) influenced overall survival. Primary vs. recurrent therapy (p=0.001), margin-status (p=0.018) and T-stage (p=0.043) influenced local control rate. Dedifferentiation was seen in only 1/17 cases.CONCLUSION: The calculated prognostic factors illustrate the importance of a radical primary therapy. Histological subtype is a significant additional factor for overall survival and, in case of dedifferentiation, it is a strong predictor of a detrimental outcome.
KW - Adult
KW - Aged
KW - Carcinoma, Adenoid Cystic
KW - Cell Differentiation
KW - Fast Neutrons
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Multivariate Analysis
KW - Neoplasm Metastasis
KW - Neoplasm Recurrence, Local
KW - Prognosis
KW - Retrospective Studies
KW - Salivary Gland Neoplasms
KW - Survival Rate
KW - Time Factors
KW - Journal Article
M3 - SCORING: Journal article
C2 - 15865085
VL - 25
SP - 1321
EP - 1326
JO - ANTICANCER RES
JF - ANTICANCER RES
SN - 0250-7005
IS - 2B
ER -