Table 3.
Initial characteristics and analysis of the patients who developed a local and/or regional recurrence.
| Patients | TNM | Age at diagnosis | Location | Nodal Extension | Margin | PNI | Flap | Chemotherapy | Surgery-RT interval (days) |
Prescribed Dose (Gy) | Treatment Time (days) | Time to recurrence (months) | Recurrence anatomical description | Recurrence analysis | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Local T recurrence only | 1 | T4aN2aM0 | 52 | Mobile tongue | ENE + | R1 | Yes | Yes | Yes | 39 | 66 | 46 | 9.2 | Tongue/tongue flap junction | Infield. |
| 2 | T3N2cM0 | 78 | Base of tongue | ENE + | R1 | Yes | Yes | No | 41 | 66 | 50 | 7.1 | Base of Tongue | Infield. | |
| 3 | T4aN0M0 | 50 | Mandible | N0 | R1 | Yes | No | No | 53 | 66 | 50 | 20.7 | Homolateral mandible | Infield. | |
| 4 | T4aN2cM0 | 54 | Floor of mouth | ENE + | R1 | Yes | Yes | Yes | 49 | 66 | 49 | 15.7 | Fibula flap region | Infield | |
| 5 | T3N1M0 | 77 | Mobile tongue | ENE - | R0 | No | No | No | 47 | 66 | 45 | 16.4 | Mobile tongue | Infield. | |
| 6 | T3N1M0 | 59 | Floor of mouth | ENE - | R1 | Yes | No | Yes | 48 | 66 | 46 | 4.2 | Mobile tongue/ floor of mouth junction | Infield | |
| 7 | T4N1M0 | 72 | Retromolar area | ENE + | R<5 mm | Yes | Yes | No | 51 | 66 | 48 | 12.3 | Digastric muscle | Outfield | |
| 8 | T4aN0M0 | 62 | Floor of mouth | N0 | R<5 mm | Yes | Yes | No | 48 | 60 | 38 | 2.7 | Fibula flap region | Marginal | |
| 9 | T3N1M0 | 60 | Upper lip | ENE + | R0 | Yes | Yes | Yes | 83 | 60 | 48 | 3.1 | Upper jaw | Infield. | |
| 10 | T3N0M0 | 56 | Base of tongue | N0 | R1 | Yes | Yes | Yes | 38 | 66 | 47 | 29.1 | Macroscopic PNI along the lingual nerve | Infield | |
| 11 | T1N0M0 | 65 | Tonsil | N0 | R<5 mm | Yes | No | No | 39 | 66 | 45 | 4.8 | Mobile Tongue | Marginal | |
| 12 | T3N0M0 | 79 | Hard Palate | N0 | R1 | Yes | No | No | 41 | 66 | 44 | 6.6 | Hard Palate | Marginal | |
| Both local and regional recurrence | 13 | T4aN2cM0 | 42 | Floor of mouth | ENE + | R<5 mm | Yes | Yes | Yes | 48 | 60 | 38 | 4.7 | T: Tongue / flap junction | T: Infield. |
| 14 | T3N0M0 | 77 | Cheek | N0 | R1 | No | Yes | No | 35 | 66 | 45 | 27.8 | T: Mandible | T: Infield | |
| 15 | T4aN2bM0 | 65 | Retromolar area | ENE - | R1 | No | Yes | Yes | 41 | 66 | 43 | 11 | T: Infratemporal fossa | T: Outfield | |
| 16 | T4aN2cM0 | 26 | Mobile tongue | ENE + | R1 | Yes | Yes | Yes | 35 | 66 | 45 | 1.4 | T: Base of tongue | T: Infield. | |
| 17 | T4N2cM0 | 20 | Floor of mouth | ENE + | R<5 mm | Yes | Yes | Yes | 41 | 60 | 45 | 3 | T: Oropharynx Hypopharynx |
T: Marginal | |
| Regional N recurrence only | 18 | T4aN2cM0 | 53 | Mobile Tongue | ENE + III controlateral | R1 | Yes | Yes | Yes | 42 | 66 | 48 | 4 | IVa controlateral | Infield (54Gy) |
| 19 | T3N0M0 | 51 | Retromolar area | N0 | R0 | Yes | No | 49 | 60 | 50 | 3.8 | Ib homolateral | Infield (54Gy) | ||
| 20 | T2N2cM0 | 54 | Oropharynx | ENE + IIB homolateral | R1 | No | Yes | 42 | 66 | 51 | 39 | VIIA homolateral | Infield (54Gy) | ||
| 21 | T3N2bM0 | 80 | Mobile tongue | ENE + IIA homolateral | R<5mm | No | No | 44 | 66 | 47 | 4 | IV homolateral | Infield (54Gy) | ||
| 22 | T1N2aM0 | 74 | Left Tonsil | ENE + IIB homolateral | R0 | No | No | No | 43 | 66 | 44 | 12 | VIIA homolateral | Infield (60Gy) | |
| 23 | T4aN3bM0 | 79 | Hard Palate | ENE + IIA homolateral | R1 | Yes | No | No | 48 | 60 | 39 | 8.5 | II A IIB III contralateral (unilateral irradiation) | Outfield | |
| 24 | T1N2cM0 | 49 | Mobile tongue | ENE + IIA bilateral | R1 | No | Yes | 44 | 66 | 48 | 4 | IB homolateral | Infield (60Gy) | ||
| 25 | T2N2bM0 | 56 | Floor of mouth | ENE + IIA homolateral | R<5 mm | Yes | Yes | Yes | 43 | 66 | 50 | 9 | IIB-IV-V homolateral |
Infield (60Gy) | |
| 26 | T4N1M0 | 80 | Floor of mouth | ENE – IIB homolateral | R1 | Yes | Yes | No | 43 | 60 | 41 | 4 | IIB homolateral | Infield (60Gy) |
R1= positive margin, R<5mm=close margin <5mm, R0=negative margin, ENE +, extranodal extension; ENE -, positive node without extranodal extension; N - , no positive node; Surgery – RT interval, interval between surgery and the first day of radiotherapy.