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Impact of young age on prognosis for head and neck cancer: A matched‐pair analysis
Author(s) -
Gilroy Jeffrey S.,
Morris Christopher G.,
Amdur Robert J.,
Mendenhall William M.
Publication year - 2005
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.20145
Subject(s) - medicine , larynx , radiation therapy , head and neck cancer , cohort , stage (stratigraphy) , basal cell , head and neck squamous cell carcinoma , head and neck , cancer , young adult , cohort study , overall survival , surgery , paleontology , biology
Background. The purpose of this study was to review outcomes of young patients (age <40 years) treated with definitive radiotherapy alone for squamous cell carcinoma of the oropharynx, and larynx, and to compare these results with an older matched patient cohort. Methods. Since 1983, 30 previously untreated young patients underwent definitive radiotherapy at the University of Florida and were matched with an older group of patients (age >45 years) with respect to primary site, stage of disease, and sex. Results. There was no difference in cause‐specific survival, locoregional control, or long‐term complications between the two groups; however, there was a significant difference in overall survival favoring young patients ( p = .0174). Older patients had twice as many second malignancies. Conclusion. Young age does not confer a worse prognosis in patients treated with definitive radiotherapy for squamous cell carcinoma of the oropharynx and larynx. © 2005 Wiley Periodicals, Inc. Head Neck 27: XXX–XXX, 2005