Subglottic Squamous Cell Carcinoma

Objective Subglottic squamous cell carcinoma (SCCa) is a rare malignancy representing

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Veröffentlicht in:Otolaryngology-head and neck surgery 2016-02, Vol.154 (2), p.315-321
Hauptverfasser: Marchiano, Emily, Patel, Dhruv M., Patel, Tapan D., Patel, Amit A., Xue, Yuhan E., Eloy, Jean Anderson, Baredes, Soly, Park, Richard Chan W.
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container_end_page 321
container_issue 2
container_start_page 315
container_title Otolaryngology-head and neck surgery
container_volume 154
creator Marchiano, Emily
Patel, Dhruv M.
Patel, Tapan D.
Patel, Amit A.
Xue, Yuhan E.
Eloy, Jean Anderson
Baredes, Soly
Park, Richard Chan W.
description Objective Subglottic squamous cell carcinoma (SCCa) is a rare malignancy representing
doi_str_mv 10.1177/0194599815618190
format Article
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Patients often present with late‐stage disease, and survival outcomes are reportedly worse than those for SCCa in other regions of the larynx. Study Design Analysis of a population‐based tumor registry. Setting Academic medical center. Subjects and Methods The US National Cancer Institute’s Surveillance, Epidemiology, and End Results database was queried for cases of subglottic SCCa from 1973 to 2011 (889 cases). Resulting data were analyzed, including patient demographics, therapeutic measures, and survival outcomes. Results Subglottic SCCa most frequently occurred in the fifth to seventh decade of life, with a mean age at diagnosis of 65.7 ± 11.3 years. There was a strong male predilection, with a male:female ratio of 3.83:1. Most patients were stage III and IV (64.4%) per the American Joint Committee on Cancer. The most common treatment modality was a combination of radiotherapy and surgery (38.8%), followed by radiotherapy alone (33.9%), and surgery alone (17.0%). Overall 5‐year disease‐specific survival rate was 53.7%. When stratified by treatment modality, 5‐year disease‐specific survival was 62.4% for surgery alone, 56.7% for radiotherapy alone, and 55.1% for surgery with adjuvant radiotherapy (P =. 3892). Conclusion This study represents the largest cohort of subglottic SCCa. It shows a strong predilection for men in the US population. Surgery with adjuvant radiotherapy was the most commonly employed treatment modality. No statistically significant differences were observed in 5‐year DSS by treatment modality.</description><identifier>ISSN: 0194-5998</identifier><identifier>EISSN: 1097-6817</identifier><identifier>DOI: 10.1177/0194599815618190</identifier><language>eng</language><publisher>Sage CA: Los Angeles, CA: SAGE Publications</publisher><subject>cancer ; demographic ; disease‐specific survival ; laryngeal ; malignancy ; relative survival ; SEER ; squamous cell carcinoma of the subglottis ; subglottic ; subglottic squamous cell carcinoma</subject><ispartof>Otolaryngology-head and neck surgery, 2016-02, Vol.154 (2), p.315-321</ispartof><rights>2016 American Association of Otolaryngology‐Head and Neck Surgery Foundation (AAO‐HNSF)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2321-b0e873db8c1f0319c8edfa8c707e6291af5d99926c09d12e88e1fbc19a7260cc3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1177%2F0194599815618190$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1177%2F0194599815618190$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids></links><search><creatorcontrib>Marchiano, Emily</creatorcontrib><creatorcontrib>Patel, Dhruv M.</creatorcontrib><creatorcontrib>Patel, Tapan D.</creatorcontrib><creatorcontrib>Patel, Amit A.</creatorcontrib><creatorcontrib>Xue, Yuhan E.</creatorcontrib><creatorcontrib>Eloy, Jean Anderson</creatorcontrib><creatorcontrib>Baredes, Soly</creatorcontrib><creatorcontrib>Park, Richard Chan W.</creatorcontrib><title>Subglottic Squamous Cell Carcinoma</title><title>Otolaryngology-head and neck surgery</title><description>Objective Subglottic squamous cell carcinoma (SCCa) is a rare malignancy representing &lt;5% of all laryngeal cancers. Patients often present with late‐stage disease, and survival outcomes are reportedly worse than those for SCCa in other regions of the larynx. Study Design Analysis of a population‐based tumor registry. Setting Academic medical center. Subjects and Methods The US National Cancer Institute’s Surveillance, Epidemiology, and End Results database was queried for cases of subglottic SCCa from 1973 to 2011 (889 cases). Resulting data were analyzed, including patient demographics, therapeutic measures, and survival outcomes. Results Subglottic SCCa most frequently occurred in the fifth to seventh decade of life, with a mean age at diagnosis of 65.7 ± 11.3 years. There was a strong male predilection, with a male:female ratio of 3.83:1. Most patients were stage III and IV (64.4%) per the American Joint Committee on Cancer. The most common treatment modality was a combination of radiotherapy and surgery (38.8%), followed by radiotherapy alone (33.9%), and surgery alone (17.0%). Overall 5‐year disease‐specific survival rate was 53.7%. When stratified by treatment modality, 5‐year disease‐specific survival was 62.4% for surgery alone, 56.7% for radiotherapy alone, and 55.1% for surgery with adjuvant radiotherapy (P =. 3892). Conclusion This study represents the largest cohort of subglottic SCCa. It shows a strong predilection for men in the US population. Surgery with adjuvant radiotherapy was the most commonly employed treatment modality. No statistically significant differences were observed in 5‐year DSS by treatment modality.</description><subject>cancer</subject><subject>demographic</subject><subject>disease‐specific survival</subject><subject>laryngeal</subject><subject>malignancy</subject><subject>relative survival</subject><subject>SEER</subject><subject>squamous cell carcinoma of the subglottis</subject><subject>subglottic</subject><subject>subglottic squamous cell carcinoma</subject><issn>0194-5998</issn><issn>1097-6817</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid/><recordid>eNpdj0FLwzAYQIM4sG7ePRbv0e9LbL58Ry3OCcMdpueQpolUWqvtiuzfS9GTp3d48OAJcYlwjUh0A8i3BbPFwqBFhhORITBJY5FORTZrOfszcT6O7wBgDFEmrvZT9db2h0MT8v3X5Lt-GvMytm1e-iE0H33nV2KRfDvGiz8uxev64aXcyO3u8am828qgtEJZQbSk68oGTKCRg4118jYQUDSK0aeiZmZlAnCNKlobMVUB2ZMyEIJeCvvb_W7aeHSfQ9P54egQ3Dzo_g-63eb5fg1kAPUPnihEcQ</recordid><startdate>201602</startdate><enddate>201602</enddate><creator>Marchiano, Emily</creator><creator>Patel, Dhruv M.</creator><creator>Patel, Tapan D.</creator><creator>Patel, Amit A.</creator><creator>Xue, Yuhan E.</creator><creator>Eloy, Jean Anderson</creator><creator>Baredes, Soly</creator><creator>Park, Richard Chan W.</creator><general>SAGE Publications</general><scope/></search><sort><creationdate>201602</creationdate><title>Subglottic Squamous Cell Carcinoma</title><author>Marchiano, Emily ; Patel, Dhruv M. ; Patel, Tapan D. ; Patel, Amit A. ; Xue, Yuhan E. ; Eloy, Jean Anderson ; Baredes, Soly ; Park, Richard Chan W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2321-b0e873db8c1f0319c8edfa8c707e6291af5d99926c09d12e88e1fbc19a7260cc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>cancer</topic><topic>demographic</topic><topic>disease‐specific survival</topic><topic>laryngeal</topic><topic>malignancy</topic><topic>relative survival</topic><topic>SEER</topic><topic>squamous cell carcinoma of the subglottis</topic><topic>subglottic</topic><topic>subglottic squamous cell carcinoma</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Marchiano, Emily</creatorcontrib><creatorcontrib>Patel, Dhruv M.</creatorcontrib><creatorcontrib>Patel, Tapan D.</creatorcontrib><creatorcontrib>Patel, Amit A.</creatorcontrib><creatorcontrib>Xue, Yuhan E.</creatorcontrib><creatorcontrib>Eloy, Jean Anderson</creatorcontrib><creatorcontrib>Baredes, Soly</creatorcontrib><creatorcontrib>Park, Richard Chan W.</creatorcontrib><jtitle>Otolaryngology-head and neck surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Marchiano, Emily</au><au>Patel, Dhruv M.</au><au>Patel, Tapan D.</au><au>Patel, Amit A.</au><au>Xue, Yuhan E.</au><au>Eloy, Jean Anderson</au><au>Baredes, Soly</au><au>Park, Richard Chan W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Subglottic Squamous Cell Carcinoma</atitle><jtitle>Otolaryngology-head and neck surgery</jtitle><date>2016-02</date><risdate>2016</risdate><volume>154</volume><issue>2</issue><spage>315</spage><epage>321</epage><pages>315-321</pages><issn>0194-5998</issn><eissn>1097-6817</eissn><abstract>Objective Subglottic squamous cell carcinoma (SCCa) is a rare malignancy representing &lt;5% of all laryngeal cancers. Patients often present with late‐stage disease, and survival outcomes are reportedly worse than those for SCCa in other regions of the larynx. Study Design Analysis of a population‐based tumor registry. Setting Academic medical center. Subjects and Methods The US National Cancer Institute’s Surveillance, Epidemiology, and End Results database was queried for cases of subglottic SCCa from 1973 to 2011 (889 cases). Resulting data were analyzed, including patient demographics, therapeutic measures, and survival outcomes. Results Subglottic SCCa most frequently occurred in the fifth to seventh decade of life, with a mean age at diagnosis of 65.7 ± 11.3 years. There was a strong male predilection, with a male:female ratio of 3.83:1. Most patients were stage III and IV (64.4%) per the American Joint Committee on Cancer. The most common treatment modality was a combination of radiotherapy and surgery (38.8%), followed by radiotherapy alone (33.9%), and surgery alone (17.0%). Overall 5‐year disease‐specific survival rate was 53.7%. When stratified by treatment modality, 5‐year disease‐specific survival was 62.4% for surgery alone, 56.7% for radiotherapy alone, and 55.1% for surgery with adjuvant radiotherapy (P =. 3892). Conclusion This study represents the largest cohort of subglottic SCCa. It shows a strong predilection for men in the US population. Surgery with adjuvant radiotherapy was the most commonly employed treatment modality. No statistically significant differences were observed in 5‐year DSS by treatment modality.</abstract><cop>Sage CA: Los Angeles, CA</cop><pub>SAGE Publications</pub><doi>10.1177/0194599815618190</doi><tpages>7</tpages></addata></record>
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subjects cancer
demographic
disease‐specific survival
laryngeal
malignancy
relative survival
SEER
squamous cell carcinoma of the subglottis
subglottic
subglottic squamous cell carcinoma
title Subglottic Squamous Cell Carcinoma
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