[Retrospective analysis of effectiveness of XXXX : report of 108 cases].

@entity1 @entity957 @entity5 @entity3
BACKGROUND _ OBJECTIVE: There is a controversy in selecting either radiotherapy plus surgery reserved as salvage (Salvage S) or the planned surgery plus preoperative radiotherapy (Planned R+S) as the treatment modality for the @entity957 . Among stage III- IV @entity1 , the @entity5 size and the lymph node @entity3 were insufficient as the prognostic predictors. The authors retrospectively reviewed the @entity1 with this disease who were treated in Cancer Hospital of Chinese Academy of Medical Sciences to analyze the indications and prognosis of the two treatments. METHODS: A total of 108 @entity1 with biopsy-proven @entity957 were reviewed from 1984 to 2000. The @entity1 were divided into Salvage S group (group A, 83 cases) and Planned R+S group (group B, 25 cases). Treatment outcome and the surgery related oral dysfunctions were compared in the two groups. The relationship between the response to radiotherapy and the survival rate was analyzed. RESULTS: The composite resection that led to oral dysfunction was undertaken for 20 (24.1%) of group A @entity1 and for 22 (88.0%) of group B @entity1 . The 5-year survival rates were 59.3% and 55.4% in group A and group B @entity1 , respectively (P=0.706). The 5-year survival rates were 73.0% and 76.9% in the @entity1 whose lymph nodes and surgical specimen showed obvious response to radiotherapy,respectively. CONCLUSION: The two treatment modalities reached similar survivals. However, compared with the planned surgery, 60% of composite resection would be withdrawn if surgery reserved as salvage, being benefit to the oral function. The responses to radiotherapy in the lymph nodes and the surgical specimen were good predictors of prognosis.
