American College of Radiology Appropriateness Criteria (R) treatment of stage I T1 glottic cancer

作者：Ridge John A^*; Lawson Joshua; Yom Sue S; Garg Madhur Kumar; McDonald Mark W; Quon Harry; Saba Nabil; Salama Joseph K; Smith Richard V; Worden Francis; Yeung Anamaria Reyna; Beitler Jonathan J

来源：Head and Neck-Journal for the Sciences and Specialties of the Head and Neck, 2014, 36(1): 3-8.

DOI：10.1002/hed.23381

• glottic cancer
• appropriateness criteria
• radiotherapy
• endolaryngeal surgery
• transoral surgery

BackgroundControversy surrounds the appropriate therapy for T1 glottic cancer. Both transoral endolaryngeal resection and radiation offer excellent local control and voice quality; some lesions are best addressed with resection and others with radiation.
MethodsThe American College of Radiology (ACR) Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed by a multidisciplinary expert panel. The guideline development includes an analysis of current literature from peer reviewed journals and the well-established modified Delphi consensus methodology to rate the appropriateness of treatment. Where evidence is not definitive, expert opinion informed recommendations.
ResultsThe ACR Expert Panel on Radiation Oncology - Head and Neck Cancer developed consensus recommendations for treatment of T1 glottic cancer. Treatment planning is complex and decisions nuanced.
ConclusionBest treatment for a particular cancer cannot be defined without consideration of the lesion's location, extent, depth of invasion, and quality of surgical exposure during direct laryngoscopy.

• 出版日期2014-1