Emerging Concepts and Novel Strategies in Radiation Therapy for Laryngeal Cancer Management

被引:32
作者
Gamez, Mauricio E. [1 ]
Blakaj, Adriana [2 ]
Zoller, Wesley [1 ]
Bonomi, Marcelo [3 ]
Blakaj, Dukagjin M. [1 ]
机构
[1] Ohio State Univ, Wexner Med Ctr, Div Radiat Oncol, Columbus, OH 43210 USA
[2] Yale Sch Med, Dept Therapeut Radiol, 35 Pk St, New Haven, CT 06519 USA
[3] Ohio State Univ, Wexner Med Ctr, Dept Internal Med, Div Med Oncol, 320 West 10th Ave, Columbus, OH 43210 USA
关键词
laryngeal cancer; radiotherapy; IMRT; IGRT; SABR; de-escalation therapy; SQUAMOUS-CELL CARCINOMA; VOCAL CORD IRRADIATION; NECK-CANCER; GLOTTIC CARCINOMA; RANDOMIZED-TRIAL; TUMOR VOLUME; CONCURRENT CHEMORADIOTHERAPY; VOICE QUALITY; LASER-SURGERY; FRACTION SIZE;
D O I
10.3390/cancers12061651
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Laryngeal squamous cell carcinoma is the second most common head and neck cancer. Its pathogenesis is strongly associated with smoking. The management of this disease is challenging and mandates multidisciplinary care. Currently, accepted treatment modalities include surgery, radiation therapy, and chemotherapy-all focused on improving survival while preserving organ function. Despite changes in smoking patterns resulting in a declining incidence of laryngeal cancer, the overall outcomes for this disease have not improved in the recent past, likely due to changes in treatment patterns and treatment-related toxicities. Here, we review emerging concepts and novel strategies in the use of radiation therapy in the management of laryngeal squamous cell carcinoma that could improve the relationship between tumor control and normal tissue damage (therapeutic ratio).
引用
收藏
页码:1 / 21
页数:21
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