American college of radiology appropriateness criteria ® treatment of stage I T1 glottic cancer
Year: 2013
Type: article
Abstract: BACKGROUND: Controversy 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. METHODS: The 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. RESULTS: The 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. CONCLUSION: Best 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.
Source: Head & Neck
DOI: 10.1002/hed.23381
Institutions: Fox Chase Cancer Center, American College of Surgeons, University of California San Diego, University of California, San Francisco, Montefiore Medical Center, Indiana University Indianapolis, Indiana University School of Medicine, University of Pennsylvania, American Society of Clinical Oncology, Emory University, Duke University, University of Michigan, University of Florida
Language: English
Topic: Head and Neck Cancer Studies
Subfield: Otorhinolaryngology
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W1484425445