Evidence map›Paper›PMID 33216194›Full record

SynthesisStrahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]2021

Routine restaging after primary non-surgical treatment of laryngeal squamous cell carcinoma-a review.

Caroline Theresa Seebauer, Berit Hackenberg, Jirka Grosse, Janine Rennert, Ernst-Michael Jung, Ines Ugele, Ioannis Michaelides, Hisham Mehanna, Matthias G Hautmann, Christopher Bohr and 1 more

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
4.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
  2. Diagnostic value of MRI for posttreatment surveillance of early-stage (I-II) glottic larynx cancer.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2026
    Article
  3. Imaging for Laryngeal Malignancies: Guidelines for Clinicians.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2023
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Salvage carbon dioxide transoral laser microsurgery for laryngeal cancer after (chemo)radiotherapy: a European Laryngological Society consensus statement.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 2 countries.

Caroline Theresa SeebauerDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Germany.
Berit HackenbergDepartment of Otorhinolaryngology, Head and Neck Surgery, University Medical Center of Mainz, 55131, Mainz, Germany.
Jirka GrosseDepartment of Nuclear Medicine, University Hospital of Regensburg, 93053, Regensburg, Germany.
Janine RennertInstitute of Radiology, University Hospital of Regensburg, 93053, Regensburg, Germany.
Ernst-Michael JungInstitute of Radiology, University Hospital of Regensburg, 93053, Regensburg, Germany.
Ines UgeleDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Germany.
Ioannis MichaelidesDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Germany.
Hisham MehannaDepartment of Head and Neck Surgery, University of Birmingham, B15 2TT, Birmingham, UK.
Matthias G HautmannDepartment of Radiotherapy, University Hospital of Regensburg, 93053, Regensburg, Germany.
Christopher BohrDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Germany.
Julian KünzelDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Germany. julian.kuenzel@ukr.de.ORCID http://orcid.org/0000-0001-9785-1386
University Hospital Regensburg · DEJohannes Gutenberg University Mainz · DEUniversity of Birmingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTreatment of patients with laryngeal squamous cell carcinoma with radiotherapy or chemoradiation is an established alternative to laryngeal surgery in many cases, but particularly for advanced tumors without cartilage invasion. Imaging modalities face the challenge of distinguishing between posttherapeutic changes and residual disease in the complex anatomic subsite of the larynx. Guidelines concerning restaging of head and neck squamous cell carcinomas (HNSCC) are presented by the National Comprehensive Cancer Network (NCCN) and other national guidelines, but clearly defined recommendations for routine restaging particularly for laryngeal cancer are lacking.

methodsA systematic search was carried out in PubMed to identify studies evaluating routine restaging methods after primary non-surgical treatment of laryngeal squamous cell carcinoma from 2009 to 2020.

resultsOnly three studies were deemed eligible, as they included at least ≥50% patients with laryngeal squamous cell carcinoma and evaluated imaging modalities to detect residual cancer. The small number of studies in our review suggest restaging with fluoro-deoxy-glucose positron-emission tomography/computed tomography (FDG PET/CT) 3 months after initial treatment, followed by direct laryngoscopy with biopsy of the lesions identified by FDG PET/CT.

conclusionStudies evaluating restaging methods after organ-preserving non-surgical treatment of laryngeal carcinoma are limited. As radiotherapy (RT), chemoradiotherapy (CRT), systemic therapy followed by RT and radioimmunotherapy are established alternatives to surgical treatment, particularly in advanced laryngeal cancers, further studies are needed to assess and compare different imaging modalities (e.g. PET/CT, MRI, CT, ultrasound) and clinical diagnostic tools (e.g., video laryngoscopy, direct laryngoscopy) to offer patients safe and efficient restaging strategies. PET or PET/CT 3 months after initial treatment followed by direct laryngoscopy with biopsy of the identified lesions has the potential to reduce the number of unnecessary laryngoscopies.

Indexed as

BiopsyCarcinoma, Squamous CellChemoradiotherapyFluorodeoxyglucose F18HumansLaryngeal NeoplasmsLaryngoscopyLarynxNeoplasm StagingPositron Emission Tomography Computed TomographyFluorodeoxyglucose F18ChemoradiotherapyImagingLarynx cancerOrgan-preserving treatmentRadiotherapyTherapy control

Identifiers

PMID33216194
PMCPMC7892687
OpenAlexW3099849011

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.