Radical irradiation for XXXX .

@entity1 @entity135 @entity189
Radiation therapy is sometimes prescribed as an alternative to partial or total laryngopharyngectomy in the initial management of @entity189 . Forty-two @entity1 were irradiated for cure and have a follow-up period of 2-14 years. Local control by irradiation alone was 11 of 14 for T1, 6 of 10 for T2, 3 of 6 for T3, and 1 of 7 T4. Three T2 failures were salvaged by laryngopharyngectomy for an ultimate control of 9 of 10 for T2. Management of the neck is critical since 79% of the @entity1 presented with clinically positive necks, and many had @entity135 . Complete or partial neck dissection was added after irradiation on an individualized basis. In spite of the extensive @entity135 , only three @entity1 died of uncontrolled @entity135 with the primary controlled. The two-year absolute survival for Stages I and II was 83%, Stage III 62% and Stage and Stage IV 52%. The five-year absolute survival for Stages I and II was 66%, Stage III 38%, and Stage IV 10%. Complications of irradiation, neck dissection, and surgical salvage procedures are reviewed.
