[Tumour recurrence in squamous head and neck cancer].
BACKGROUND
For most patients with squamous head and neck cancer (HN-SCC), locoregional tumour recurrence (TR) carries an extremely poor prognosis and is therapeutically challenging.


OBJECTIVE
To define the clinical aspects of TR and their implication on the survival in patients with HN-SCC.


METHODS
The clinical management and the outcome of 652 patients with HN-SCC were reviewed.


RESULTS
The overall incidence of TR in this series of HN-SCC was 19.9% (n=130). The most frequent locations of the primary cancers were oropharynx (32%), hypopharynx (24%), and oral cavity (21%). The rates of recurrence were locoregional 50%, local 43 % and stomal recurrence 7%. The appearance of a TR reduces the overall survival of patients with HN-SCC to 15%. Survival is better in glottic (38%) and supraglottic (27%), carcinomas, and worse in oro-hypopharynx tumours (2-4%).


CONCLUSIONS
RT are more frequent in pharyngeal tumours, especially locoregional recurrences. Patients with recurrence in pharynx were definitely associated with poor prognosis and in these cases salvage surgery seems not to improve survival rates.
Alvarez Marcos
César Antonio
CA
Servicio de Otorrinolaringología, Hospital Valle del Nalón, Riaño-Langreo, Asturias, España. alvarezmarcos@telefonica.net
Llorente Pendás
José Luis
JL
Franco Gutiérrez
Virginia
V
Fernández Espina
Humberto
H
Alonso Guervós
Marta
M
Suárez Nieto
Carlos
C
Hermsen
Mario
M
D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis / Q000401:mortality / Q000473:pathology*; D005260:Female; D006258:Head and Neck Neoplasms / Q000175:diagnosis / Q000401:mortality / Q000473:pathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D012189:Retrospective Studies; D015996:Survival Rate