Table 3.
Demographics of patients with regional recurrence outside CTVn.
No. | Sex, age, smoking | Subsite | Stage | Treatment | Failure type | Time to recurrence | Elective levels irradiated | Regional recurrence |
---|---|---|---|---|---|---|---|---|
1 | Male, 46 y, former, multifocal | Piriform sinus (R) Supraglottis (L) Esophagus (mid) Oropharynx (R) |
Tis T3N0 T2 Tis |
70 Gy (50 Gy) + cisplatin | N+M | 5 years and 2 months | Ipsi (R): Ib, II–IVa+b, Vc, VI, VIIa+b; Contra (L): II–IVa+b, Vc, VI, VIIa+b |
Ipsi (R): Ib, II, V, VIIa Contra (L): Ib, II, VIIa |
2 | Male, 63 y, current, multifocal | 1. Floor of mouth (L) 2. Tongue (R) 3. Supraglottis 4. Glottis |
T2 T2N2b(R) T1 T1 |
72 Gy (46.4 Gy) + cisplatin | T+N+M | 1 year and 6 months | Ipsi (R): Ib, II–IVa, V, VIIb Contra (L): Ib, II–IVa |
Contra (L): II–III |
3 | Male, 67 y, former | Piriform sinus | T3N2b | 72 Gy (40 Gy) + cisplatin | N+M | 4 months | Ipsi: Ib, II–IVa, V, VIa+b, VIIa+b Contra: II–IVa, VIa+b, VIIa |
Contra: II |
4 | Male, 68 y, current | Piriform sinus | T4aN2b | 72 Gy (40 Gy) + cisplatin | T+N | 7 months | Ipsi: II–IVa, V, VIIa+b Contra: II–III |
Ipsi: VIIa-b |
5 | Female, 75 y, former | Piriform sinus | T2N2b | 72 Gy (40 Gy) | N | 4 months | Ipsi: II–IVa, V Contra: II–III |
Ipsi: VIIa |
Four patients had a recurrence in CTVe, of which one (patient 1) also had a recurrence outside the irradiated volume (ipsilateral level V). One patient had an isolated regional recurrence outside the elective target volume (patient 5, ipsilateral retropharyngeal adenopathy). Dose in brackets shows dose to CTVe. TNM classification according to TNM7.
Contra, contralateral; CTVe, elective clinical target volume; Ipsi, ipsilateral; L, left; N, nodal classification; R, right; T, tumor classification; y, years; M, metastasis.