Clinical Characteristics of Recurrent Nasopharyngeal Carcinoma in High-Incidence Area
Background. To describe the clinical characteristics of the patients who suffered from relapse after conventional irradiation for nasopharyngeal carcinoma (NPC). Methods. Three hundred and fifty-one consecutive patients with first-time recurrent NPC between January 1999 and July 2005 were included....
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The Scientific World Journal
2012
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pubmed-32898552012-03-23 Clinical Characteristics of Recurrent Nasopharyngeal Carcinoma in High-Incidence Area Li, Jia-Xin Lu, Tai-Xiang Huang, Ying Han, Fei Clinical Study Background. To describe the clinical characteristics of the patients who suffered from relapse after conventional irradiation for nasopharyngeal carcinoma (NPC). Methods. Three hundred and fifty-one consecutive patients with first-time recurrent NPC between January 1999 and July 2005 were included. The patients' clinical data were reviewed, including recurrent interval time, symptoms, signs, imaging characteristics, pathologic features, and restaging. Results. The median interval of relapse was 26.0 months. The most common symptoms in symptomatic patients were nasal bloody discharge (37.9%) and headache (31.1%). Local recurrence alone accounted for 73.5%. Most patients were restaged as stage III (23.1%) and stage IV (51.1%). Subgroup analysis suggested a significantly higher proportion of the long-latent relapses originated from early primary. A series of postreirradiation complications were more frequent in patients with longer latency at reception. Conclusions. Most recurrent nasopharyngeal carcinoma is advanced disease. Patients with different recurrent interval time show different nature behavior. The Scientific World Journal 2012-02-01 /pmc/articles/PMC3289855/ /pubmed/22448138 http://dx.doi.org/10.1100/2012/719754 Text en Copyright © 2012 Jia-Xin Li et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
repository_type |
Open Access Journal |
institution_category |
Foreign Institution |
institution |
US National Center for Biotechnology Information |
building |
NCBI PubMed |
collection |
Online Access |
language |
English |
format |
Online |
author |
Li, Jia-Xin Lu, Tai-Xiang Huang, Ying Han, Fei |
spellingShingle |
Li, Jia-Xin Lu, Tai-Xiang Huang, Ying Han, Fei Clinical Characteristics of Recurrent Nasopharyngeal Carcinoma in High-Incidence Area |
author_facet |
Li, Jia-Xin Lu, Tai-Xiang Huang, Ying Han, Fei |
author_sort |
Li, Jia-Xin |
title |
Clinical Characteristics of Recurrent Nasopharyngeal Carcinoma in High-Incidence Area |
title_short |
Clinical Characteristics of Recurrent Nasopharyngeal Carcinoma in High-Incidence Area |
title_full |
Clinical Characteristics of Recurrent Nasopharyngeal Carcinoma in High-Incidence Area |
title_fullStr |
Clinical Characteristics of Recurrent Nasopharyngeal Carcinoma in High-Incidence Area |
title_full_unstemmed |
Clinical Characteristics of Recurrent Nasopharyngeal Carcinoma in High-Incidence Area |
title_sort |
clinical characteristics of recurrent nasopharyngeal carcinoma in high-incidence area |
description |
Background. To describe the clinical characteristics of the patients who suffered from relapse after conventional irradiation for nasopharyngeal carcinoma (NPC). Methods. Three hundred and fifty-one consecutive patients with first-time recurrent NPC between January 1999 and July 2005 were included. The patients' clinical data were reviewed, including recurrent interval time, symptoms, signs, imaging characteristics, pathologic features, and restaging. Results. The median interval of relapse was 26.0 months. The most common symptoms in symptomatic patients were nasal bloody discharge (37.9%) and headache (31.1%). Local recurrence alone accounted for 73.5%. Most patients were restaged as stage III (23.1%) and stage IV (51.1%). Subgroup analysis suggested a significantly higher proportion of the long-latent relapses originated from early primary. A series of postreirradiation complications were more frequent in patients with longer latency at reception. Conclusions. Most recurrent nasopharyngeal carcinoma is advanced disease. Patients with different recurrent interval time show different nature behavior. |
publisher |
The Scientific World Journal |
publishDate |
2012 |
url |
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3289855/ |
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1611509134302117888 |