Prognostic significance of metabolic tumor volume in patients with piriform sinus carcinoma treated by radiotherapy with or without concurrent chemotherapy

Kenichiro Yabuki, Daisuke Sano, Osamu Shiono, Yasuhiro Arai, Hideaki Takahashi, Yoshihiro Chiba, Teruhiko Tanabe, Goshi Nishimura, Masahiro Takahashi, Takahide Taguchi, Tomohiro Kaneta, Masaharu Hata, Nobuhiko Oridate

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)

Abstract

Background: The purpose of this study was to elucidate the prognostic significance of the pretreatment metabolic tumor volume (MTV) in patients with piriform sinus carcinoma treated by radiation-based therapy. Methods: This retrospective study included 100 patients with piriform sinus carcinomas who had received treatment by radiation-based therapy. The MTV values were obtained from pretreatment positron emission tomography (PET). The association between clinical factors, including the MTV, and survival was analyzed. Results: Kaplan–Meier estimates revealed the 5-year disease-free survival (DFS) rates were significantly poorer for patients with a high MTV compared to those with a low MTV. In the multivariate analysis, MTV (p <.001), nodal metastasis (p =.011), and applied chemotherapy regimen (p =.004) were found to be independent prognostic factors for DFS. Conclusion: The locoregional MTV is a prognostic factor for DFS in patients with piriform sinus carcinoma treated by radiation-based therapy.

Original languageEnglish
Pages (from-to)1666-1671
Number of pages6
JournalHead and Neck
Volume38
Issue number11
DOIs
Publication statusPublished - 2016 Nov 1
Externally publishedYes

Keywords

  • concurrent chemoradiotherapy
  • metabolic tumor volume
  • piriform sinus carcinoma
  • radiotherapy
  • survival

ASJC Scopus subject areas

  • Otorhinolaryngology

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