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Table 2 The 2-year estimated overall survival (OS), disease-free survival (DFS), locoregional progress-free survival (LRPF) and distant metastasis-free (DMF) rate of postoperative irradiation with or without of chemotherapy for high-risk oral cavity cancer at the Far Eastern Memorial Hospital (FEMH) compared with selected published series

From: Image-guided intensity modulated radiotherapy with helical tomotherapy for postoperative treatment of high-risk oral cavity cancer

Selected published Series

No. of postoperative patient

Proportion of OCC

T3 -4

LN involvement ≥2 Positive

Stage III, IV

Resection margin positive or close

ECE

PNI

LVSI/or VEs

Mod- Ality

2-year

  

(%)

(%)

(%)

(%)

(%)

(%)

(%)

(%)

(%)

OS (%)

DFS (%)

LR PF (%)

DMF (%)

Eisbruch et al.[3]

133

20

-

-

91

7

48

-

-

OP→ IMRT +C/T

-

-

65¶

-

Studer et al.[15]

28

100

32

57

68

-

-

-

-

OP→ IMRT +/-C/T

83

87

91

95

Chao KS et al.[16]

65

17.6

52

56

86

-

-

-

-

OP→ IMRT

-

-

90

-

Yao M et al.[18]

55

100

56

36

91

    

OP→ IMRT

68

74

82

89

Gomez DR et al.[19]

35

100

40

38

80

43

36

54

26

OP→ IMRT +/-C/T

74

70

84

85

Chen WC et al., Taiwan[17]

22

100

-

32

100

5

32

-

-

OP→ IMRT +/-C/T

72

64

-

-

FEMH, Taiwan

19

100

68

58

95

52.6

42.1

73.7

68.4

OP→ HT +/-C/T

94

84

92

94

  1. *Value estimated from survival curves. †High-risk OCC: extracapsular spread, Resection-margin positive or close, or more than one adverse factor. ¶ The estimated 2-year LRPF rate belong to OCC only.
  2. Abbreviations:
  3. OCC = oral cavity cancer; LN = Lymph node; ECE = Extracapsular extension; PNI = Perineural involvement; LVSI = Lymphovascular space involvement; VEs = vascular embolisms; OS = overall survival; DFS = disease-free survival; LRPF= locoregional progress-free survival; DMF = distant metastasis-free; OP = operation; RT = External beam radiation therapy; IMRT = intensity-modulated radiation therapy; HT = helical tomotherapy; C/T = chemotherapy; FEMH = Far Eastern Memorial Hospital.