title: American College of Radiology Appropriateness Criteria(®) treatment of stage I T1 glottic cancer.
abstract: BACKGROUND
  Controversy surrounds the appropriate therapy for T1 glottic cancer. Both transoral endolaryngeal resection and radiation offer excellent local control and voice quality; some lesions are best addressed with resection and others with radiation.
  
  
  METHODS
  The American College of Radiology (ACR) Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed by a multidisciplinary expert panel. The guideline development includes an analysis of current literature from peer reviewed journals and the well-established "modified Delphi" consensus methodology to rate the appropriateness of treatment. Where evidence is not definitive, expert opinion informed recommendations.
  
  
  RESULTS
  The ACR Expert Panel on Radiation Oncology - Head and Neck Cancer developed consensus recommendations for treatment of T1 glottic cancer. Treatment planning is complex and decisions nuanced.
  
  
  CONCLUSIONS
  Best treatment for a particular cancer cannot be defined without consideration of the lesion's location, extent, depth of invasion, and quality of surgical exposure during direct laryngoscopy.
authors.affiliation: Fox Chase Cancer Center, (American College of Surgeons), Philadelphia, Pennsylvania.
authors.forename: John A
authors.initials: JA
authors.lastname: Ridge
authors.forename: Joshua
authors.initials: J
authors.lastname: Lawson
authors.forename: Sue S
authors.initials: SS
authors.lastname: Yom
authors.forename: Madhur Kumar
authors.initials: MK
authors.lastname: Garg
authors.forename: Mark W
authors.initials: MW
authors.lastname: McDonald
authors.forename: Harry
authors.initials: H
authors.lastname: Quon
authors.forename: Nabil
authors.initials: N
authors.lastname: Saba
authors.forename: Joseph K
authors.initials: JK
authors.lastname: Salama
authors.forename: Richard V
authors.initials: RV
authors.lastname: Smith
authors.forename: Francis
authors.initials: F
authors.lastname: Worden
authors.forename: Anamaria Reyna
authors.initials: AR
authors.lastname: Yeung
authors.forename: Jonathan J
authors.initials: JJ
authors.lastname: Beitler
mesh_terms: D019583:Dose Fractionation, Radiation; D019317:Evidence-Based Medicine; D005260:Female; D005931:Glottis / Q000473:pathology*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000473:pathology* / Q000532:radiotherapy* / Q000601:surgery; D007825:Laryngectomy / Q000379:methods; D008297:Male; D009367:Neoplasm Staging; D017410:Practice Guidelines as Topic; D011379:Prognosis; D018787:Radiation Oncology / Q000592:standards*; D011879:Radiotherapy Dosage; D050397:Radiotherapy, Intensity-Modulated; D016032:Randomized Controlled Trials as Topic; D012955:Societies, Medical / Q000592:standards; D016896:Treatment Outcome
keywords: appropriateness criteria; endolaryngeal surgery; glottic cancer; radiotherapy; transoral surgery