International Journal of Radiation Oncology * Biology * Physics
Volume 71, Issue 2 , Pages 371-376 , 1 June 2008

Does Adjuvant Radiation Therapy Improve Outcomes In pT1-3N0 Oral Cavity Cancer With Tumor-Free Margins and Perineural Invasion?

  • Chun-Ta Liao, M.D.

      Affiliations

    • Department of Otorhinolaryngology, Head and Neck Surgery, Chang Gung Memorial Hospital and Chang Gung University, Chang Gung University, Taoyuan, Taiwan
    • Department of Head and Neck Oncology Group, Chang Gung Memorial Hospital and Chang Gung University, Chang Gung University, Taoyuan, Taiwan
  • ,
  • Joseph Tung-Chieh Chang, M.D., M.H.A.

      Affiliations

    • Department of Radiation Oncology, Chang Gung Memorial Hospital and Chang Gung University, Chang Gung University, Taoyuan, Taiwan
    • Department of Head and Neck Oncology Group, Chang Gung Memorial Hospital and Chang Gung University, Chang Gung University, Taoyuan, Taiwan
  • ,
  • Hung-Ming Wang, M.D.

      Affiliations

    • Department of Medical Oncology, Chang Gung Memorial Hospital and Chang Gung University, Chang Gung University, Taoyuan, Taiwan
    • Department of Head and Neck Oncology Group, Chang Gung Memorial Hospital and Chang Gung University, Chang Gung University, Taoyuan, Taiwan
  • ,
  • Shu-Hang Ng, M.D.

      Affiliations

    • Department of Diagnostic Radiology, Chang Gung Memorial Hospital and Chang Gung University, Chang Gung University, Taoyuan, Taiwan
    • Department of Head and Neck Oncology Group, Chang Gung Memorial Hospital and Chang Gung University, Chang Gung University, Taoyuan, Taiwan
  • ,
  • Chuen Hsueh, M.D.

      Affiliations

    • Department of Pathology, Chang Gung Memorial Hospital and Chang Gung University, Chang Gung University, Taoyuan, Taiwan
    • Department of Head and Neck Oncology Group, Chang Gung Memorial Hospital and Chang Gung University, Chang Gung University, Taoyuan, Taiwan
  • ,
  • Li-Yu Lee, M.D.

      Affiliations

    • Department of Pathology, Chang Gung Memorial Hospital and Chang Gung University, Chang Gung University, Taoyuan, Taiwan
    • Department of Head and Neck Oncology Group, Chang Gung Memorial Hospital and Chang Gung University, Chang Gung University, Taoyuan, Taiwan
  • ,
  • Chih-Hung Lin, M.D.

      Affiliations

    • Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital and Chang Gung University, Chang Gung University, Taoyuan, Taiwan
    • Department of Head and Neck Oncology Group, Chang Gung Memorial Hospital and Chang Gung University, Chang Gung University, Taoyuan, Taiwan
  • ,
  • I.-How Chen, M.D.

      Affiliations

    • Department of Otorhinolaryngology, Head and Neck Surgery, Chang Gung Memorial Hospital and Chang Gung University, Chang Gung University, Taoyuan, Taiwan
    • Department of Head and Neck Oncology Group, Chang Gung Memorial Hospital and Chang Gung University, Chang Gung University, Taoyuan, Taiwan
  • ,
  • Shiang-Fu Huang, M.D.

      Affiliations

    • Department of Otorhinolaryngology, Head and Neck Surgery, Chang Gung Memorial Hospital and Chang Gung University, Chang Gung University, Taoyuan, Taiwan
    • Department of Head and Neck Oncology Group, Chang Gung Memorial Hospital and Chang Gung University, Chang Gung University, Taoyuan, Taiwan
  • ,
  • Ann-Joy Cheng, Ph.D.

      Affiliations

    • Department of Medical Biotechnology, Chang Gung Memorial Hospital and Chang Gung University, Chang Gung University, Taoyuan, Taiwan
    • Department of Head and Neck Oncology Group, Chang Gung Memorial Hospital and Chang Gung University, Chang Gung University, Taoyuan, Taiwan
  • ,
  • Lai-Chu See, Ph.D.

      Affiliations

    • Department of Biostatistics Consulting Center/Department of Public Health, Chang Gung Memorial Hospital and Chang Gung University, Chang Gung University, Taoyuan, Taiwan
    • Department of Head and Neck Oncology Group, Chang Gung Memorial Hospital and Chang Gung University, Chang Gung University, Taoyuan, Taiwan
  • ,
  • Tzu-Chen Yen, M.D., Ph.D.

      Affiliations

    • Department of Nuclear Medicine and Molecular Imaging Center, Chang Gung Memorial Hospital and Chang Gung University, Chang Gung University, Taoyuan, Taiwan
    • Department of Head and Neck Oncology Group, Chang Gung Memorial Hospital and Chang Gung University, Chang Gung University, Taoyuan, Taiwan
    • Corresponding Author InformationReprint requests to: Tzu-Chen Yen, MD, Ph.D., Department of Nuclear Medicine, Chang Gung Memorial Hospital at Taipei, 199, Tung Hwa North Road, Taipei 105, Taiwan, R.O.C. Tel: (+886) 3328-1200, ext. 2673; Fax: (+886) 3211-0052

Received 21 June 2007 ,Revised 30 August 2007 ,Accepted 9 October 2007.

References 

  1. Garzino-Demo P, Dell'Acqua A, Dalmasso P, et al. Clinicopathological parameters and outcome of 245 patients operated for oral squamous cell carcinoma. J Craniomaxillofac Surg. 2006;34:344–350
  2. Brandwein-Gensler M, Teixeira MS, Lewis CM, et al. Oral squamous cell carcinoma: Histologic risk assessment, but not margin status, is strongly predictive of local disease-free and overall survival. Am J Surg Pathol. 2005;29:167–178
  3. Hinerman RW, Mendenhall WM, Morris CG, et al. Postoperative irradiation for squamous cell carcinoma of the oral cavity: 35-Year experience. Head Neck. 2004;26:984–994
  4. Rahima B, Shingaki S, Nagata M, Saito C. Prognostic significance of perineural invasion in oral and oropharyngeal carcinoma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;97:423–431
  5. McMahon J, O'Brien CJ, Pathak I, et al. Influence of condition of surgical margins on local recurrence and disease-specific survival in oral and oropharyngeal cancer. Br J Oral Maxillofac Surg. 2003;41:224–231
  6. Fagan JJ, Collins B, Barnes L, et al. Perineural invasion in squamous cell carcinoma of the head and neck. Arch Otolaryngol Head Neck Surg. 1998;124:637–640
  7. Liao CT, Wang HM, Hsieh LL, et al. Higher distant failure in young age tongue cancer patients. Oral Oncol. 2006;42:718–725
  8. Liao CT, Chang JT, Wang HM, et al. Surgical outcome of T4a and resected T4b oral cavity cancer. Cancer. 2006;107:337–344
  9. Liao CT, Ng SH, Chang JT, et al. T4b oral cavity cancer below the mandibular notch is resectable with a favorable outcome. Oral Oncol. 2007;43:570–579
  10. In:  Fleming ID,  Cooper JS,  Henson DE, et al. editor. AJCC cancer staging manual. 5th ed.. Philadelphia: Lippincott-Raven; 1997;
  11. In:  Greene FL,  Page DL,  Fleming ID, et al. editor. AJCC cancer staging manual. 6th ed.. New York: Springer-Verlag; 2002;
  12. Ojiri H. Perineural spread in head and neck malignancies. Radiat Med. 2006;24:1–8
  13. Vural E, Hutcheson J, Korourian S, et al. Correlation of neural cell adhesion molecules with perineural spread of squamous cell carcinoma of the head and neck. Otolaryngol Head Neck Surg. 2000;122:717–720
  14. Zupi A, Mangone GM, Piombino P, Califano L. Perineural invasion of the lower alveolar nerve by oral cancer: A follow-up study of 12 cases. J Craniomaxillofac Surg. 1998;26:318–321
  15. Brown JS, Blackburn TK, Woolgar JA, et al. A comparison of outcomes for patients with oral squamous cell carcinoma at intermediate risk of recurrence treated by surgery alone or with post-operative radiotherapy. Oral Oncol. 2007;43:764–773
  16. Parsons JT, Mendenhall WM, Stringer SP, et al. An analysis of factors influencing the outcome of postoperative irradiation for squamous cell carcinoma of the oral cavity. Int J Radiat Oncol Biol Phys. 1997;39:137–148
  17. Langendijk JA, de Jong MA, Leemans CR, et al. Postoperative radiotherapy in squamous cell carcinoma of the oral cavity: The importance of the overall treatment time. Int J Radiat Oncol Biol Phys. 2003;57:693–700
  18. Shah N, Saunders MI, Dische S. A pilot study of postoperative CHART and CHARTWEL in head and neck cancer. Clin Oncol (R Coll Radiol). 2000;12:392–396
  19. Rosenthal DI, Liu L, Lee JH, et al. Importance of the treatment package time in surgery and postoperative radiation therapy for squamous carcinoma of the head and neck. Head Neck. 2002;24:115–126

 Conflict of interest: none.

PII: S0360-3016(07)04429-X

doi: 10.1016/j.ijrobp.2007.10.015

International Journal of Radiation Oncology * Biology * Physics
Volume 71, Issue 2 , Pages 371-376 , 1 June 2008