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Status: Bibliographieeintrag

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Verfasst von:Horn, Dominik [VerfasserIn]   i
 Bodem, Jens [VerfasserIn]   i
 Freudlsperger, Christian [VerfasserIn]   i
 Zittel, Sven [VerfasserIn]   i
 Weichert, Wilko [VerfasserIn]   i
 Hoffmann, Jürgen [VerfasserIn]   i
 Freier, Kolja [VerfasserIn]   i
Titel:Outcome of heavily pretreated recurrent oral squamous cell carcinoma after salvage resection
Titelzusatz:a monocentric retrospective analysis
Verf.angabe:Dominik Horn, Jens Bodem, Christian Freudlsperger, Sven Zittel, Wilko Weichert, Jürgen Hoffmann, Kolja Freier
E-Jahr:2016
Jahr:August 2016
Umfang:6 S.
Fussnoten:Gesehen am 03.12.2018
Titel Quelle:Enthalten in: Journal of cranio-maxillofacial surgery
Ort Quelle:Oxford [u.a.] : Elsevier, 1987
Jahr Quelle:2016
Band/Heft Quelle:44(2016), 8, Seite 1061-1066
ISSN Quelle:1878-4119
Abstract:Purpose The goals of the present study were to analyze survival data of patients who received salvage surgery due to recurrent oral squamous cell carcinoma (OSCC) of the oral cavity with curative intent, and to investigate the feasibility of microvascular flap reconstruction in a heavily pretreated patient cohort. Material and methods A total of 32 patients who received salvage surgery due to recurrent OSCC were included. The cohort was analyzed in regard to relevant clinical and pathological features. Survival was estimated by using Kaplan-Meier analysis and verified in a multivariate Cox regression model. Results All patients recovered well from surgery. The most common severe complication was free flap failure in 7 patients (24.1%). R0-resection was achieved in 16 patients (50%). Univariate Kaplan-Meier analysis showed that the estimated overall survival and disease-free survival of all patients after 24 months were 37.8% and 30.9%, respectively. Multivariate testing identified R1-resection was the only independent predictor of treatment failure. Conclusion Salvage surgery is the only potential curative treatment option in recurrent OSCC. Microvascular reconstruction is feasible in heavily pretreated patients, but it is associated with a higher free flap failure rate. Recurrent OSCC in heavily pretreated patients shows different biological behavior. Further prospective clinical and molecular studies are needed to develop a better molecular understanding of recurrent OSCC and the best and safest individual therapeutic strategy.
DOI:doi:10.1016/j.jcms.2016.05.005
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext ; Verlag: http://dx.doi.org/10.1016/j.jcms.2016.05.005
 Volltext: http://www.sciencedirect.com/science/article/pii/S1010518216300567
 DOI: https://doi.org/10.1016/j.jcms.2016.05.005
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Heavy pretreatment
 Microvascular reconstruction
 Recurrent oral squamous cell carcinoma
 Salvage surgery
K10plus-PPN:158473583X
Verknüpfungen:→ Zeitschrift

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