Evidence map›Paper›PMID 38791929›Full record

ArticleCancers2024

Targeting Anterior Commissure Involvement with Hyperfractionated Radiotherapy for T1-T2 Squamous Cell Carcinoma of the Glottic Larynx.

Satoshi Seno, Kazuma Iwashita, Akifumi Kajiwara, Rie Sasaki, Tatsuya Furukawa, Masanori Teshima, Hirotaka Shinomiya, Naomi Kiyota, Rod Lynch, Kenji Yoshida and 4 more

Abstract read
In one paragraph

Article in Cancers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Glottic tumours involving the anterior commissure in a horizontal vs vertical mode have different prognosis. Opportunity for refinement of the TNM 8Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2026
    Review
  2. Review
  3. 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

14 authors.

Satoshi SenoDivision of Radiation Oncology, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan.
Kazuma IwashitaDivision of Radiation Oncology, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan.
Akifumi KajiwaraDivision of Radiation Oncology, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan.
Rie SasakiDivision of Radiation Oncology, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan.
Tatsuya FurukawaDepartment of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan.
Masanori TeshimaDepartment of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan.
Hirotaka ShinomiyaDepartment of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan.
Naomi KiyotaKobe University Hospital Cancer Center, Kobe 650-0017, Japan.ORCID 0000-0001-8021-6116
Rod LynchDepartment of Radiation Oncology, Andrew Love Cancer Centre, Barwon Health, Geelong, VIC 3220, Australia.
Kenji YoshidaDivision of Radiation Oncology, Tottori University, Yonago 680-0945, Japan.
Takeaki IshiharaDivision of Radiation Oncology, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan.
Daisuke MiyawakiDivision of Radiation Oncology, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan.
Ken-Ichi NibuDepartment of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan.ORCID 0000-0002-5461-4871
Ryohei SasakiDivision of Radiation Oncology, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan.ORCID 0000-0002-4994-9386

Funding

Japan Society for the Promotion of Science 20KK0192
6 · The paper itself

Abstract

Anterior commissure is involved in about 20% of early-stage glottic squamous cell carcinomas (EGSCCs). Treatment outcomes and prognostic factors for EGSCC with anterior commissure involvement (ACI) were evaluated by focusing on hyperfractionated radiotherapy (74.4 Gy in 62 fractions). One-hundred and fifty-three patients with T1-T2 EGSCC were included in this study. The median total doses for T1a, T1b, and T2 were 66, 74.4, and 74.4 Gy, respectively. Overall, 49 (32%) patients had T1a, 38 (25%) had T1b, and 66 (43%) had T2 disease. The median treatment duration was 46 days. The median follow-up duration was 5.1 years. The 10-year overall and cause-specific survival rates were 72% and 97%, respectively. The 10-year local control rates were 94% for T1a, 88% for T1b, and 81% for T2 disease. Local control rates in patients with ACI were slightly better than those in patients without ACI with T1a and T1b diseases; however, the difference was not significant. The 10-year laryngeal preservation rate was 96%. Six patients experienced grade 3 mucositis, and four patients had grade 3 dermatitis. Hyperfractionated radiotherapy was effective for T1 disease with ACI, but insufficient for T2 disease with ACI. Our treatment strategy resulted in excellent laryngeal preservation.

Indexed as

anterior commissure involvementglottic cancerhyperfractionationlaryngeal preservation

Identifiers

PMID38791929
PMCPMC11119720

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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.