Observational studyCancer medicine2026
Long-Term Survival Outcomes of Concurrent Chemoradiotherapy for Postoperative High-Risk Salivary Gland Carcinomas.
Observational study in Cancer medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02776163 (Postoperative Concurrent Chemoradiotherapy in Treating Patients With High-Risk Salivary Gland Carcinomas of Head and Neck, A Non-Randomized, Phase II Trial), which is not on this map. Not yet cited in PubMed.
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The trial behind it
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Postoperative Concurrent Chemoradiotherapy in Treating Patients With High-Risk Salivary Gland Carcinomas of Head and Neck, A Non-Randomized, Phase II Trial
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8 authors.
Funding
Abstract
backgroundThis study evaluated the long-term survival outcomes of concurrent chemoradiation (CCRT) for high-risk salivary gland carcinomas (SGCs).
methodPostoperative patients with high-risk SGCs, other than adenoid cystic carcinoma (ACC), with T3-4/N1-3M0 disease were enrolled. This study included a cohort of 55 patients who received CCRT, derived from a prospective phase II trial, and a retrospective cohort of 61 patients treated with RT alone.
resultsThe median follow-up for survivors was 54.1 months. In the subgroup analysis, patients without ENE treated with CCRT showed significantly better 5-year OS (83.4% vs. 69.0%, p = 0.032), with a numerically higher 5-year DFS (57.3% vs. 41.6%, p = 0.062). In the subgroup of patients with N0-1 disease, those treated with CCRT showed a numerically higher 5-year DFS (69.1% vs. 44.9%, p = 0.073) and OS (90.7% vs. 76.2%, p = 0.057). On multivariate analyses, CCRT significantly predicted superior DFS (p = 0.021) and OS (p = 0.004) for patients without ENE and superior DFS (p = 0.027) for patients with N0-1 disease.
conclusionFor postoperative high-risk non-ACC SGCs, CCRT was associated with improved long-term survival outcomes in patients without ENE or with N0-1 disease, which need further evaluation in randomized trials. However, for patients with ENE or N2-3 disease, they may need alternative treatment strategies to enhance their prognosis.
trial registrationThe prospective cohort analyzed in this study originated from the non-ACC group enrolled in a phase 2 clinical trial (NCT02776163).
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