Table 5.
Results and prognostic factors of MSGTs in last decade
| No. of Pts | Radiation Technique | Median Follow-up | Locoregional Control (LRC) | Distant Control (DC) | Survival | Prognostic Factors | |
|---|---|---|---|---|---|---|---|
|
Tam
(2013) |
200 | IMRT, 3D-CRT, or conventional |
50 months |
2y LC 91% 5y LC 88% 2y RC 96% 5y RC 94% |
2y DMFS 84% 5y DMFS 73% |
5y 76.6% | T classification, N classification associated with DC; N classification associated with survival |
|
Jensen
(2015) |
53 | IMRT and Carbon Ion Boost | 42 months |
2y LC 84.3% 3y LC 81.9% |
3y PFS 57.9% | 3y 78.4% | - |
|
Jegadeesh
(2015) |
112 | - | 55.1 months |
5y LRC stages I/II 94.6 stages III/IV 60.4% |
5y DC stages I/II 93.0% stages III/IV 56.9% |
5y 76.0% | CNI, age, tumor size associated with LRC; site, FNP, high grade, T classification, tumor size associated with DC |
|
Hosni
(2016) |
304 | 3D-CRT or IMRT |
82 months |
5y LC 96% 5y RC 95% |
5y DC 80% | 5y 78% | Stage III–IVB, LVI, surgical margin, high risk pathology associated with DC; Stage III–IVB, LVI associated with survival |
|
Haderlein
(2019) |
65 | 3D-CRT or IMRT |
45 months |
3y LC 93% 3y LRC 90.3% |
3y DC 64% | 3y 74.9% | Macroscopic resection margin (R2) associated with LC |
Intensity modulated radiation therapy (IMRT); 3-dimensional conformal radiation therapy (3D-CRT); Local control (LC); Regional control (RC); Distant metastasis-free survival (DMFS); Progression-free survival (PFS); Clinical nerve involvement (CNI), facial nerve paralysis (FNP).