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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Main Authors: Jia-Xin Li, Tai-Xiang Lu, Ying Huang, Fei Han
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/2012/719754
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author Jia-Xin Li
Tai-Xiang Lu
Ying Huang
Fei Han
author_facet Jia-Xin Li
Tai-Xiang Lu
Ying Huang
Fei Han
author_sort Jia-Xin Li
collection DOAJ
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.
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spelling doaj-art-1a4fd6560857447d830a440a5776a38c2025-02-03T07:25:20ZengWileyThe Scientific World Journal1537-744X2012-01-01201210.1100/2012/719754719754Clinical Characteristics of Recurrent Nasopharyngeal Carcinoma in High-Incidence AreaJia-Xin Li0Tai-Xiang Lu1Ying Huang2Fei Han3State Key Laboratory of Oncology in South China, Sun Yat-Sen University, Guangzhou 510060, ChinaState Key Laboratory of Oncology in South China, Sun Yat-Sen University, Guangzhou 510060, ChinaState Key Laboratory of Oncology in South China, Sun Yat-Sen University, Guangzhou 510060, ChinaState Key Laboratory of Oncology in South China, Sun Yat-Sen University, Guangzhou 510060, ChinaBackground. 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.http://dx.doi.org/10.1100/2012/719754
spellingShingle Jia-Xin Li
Tai-Xiang Lu
Ying Huang
Fei Han
Clinical Characteristics of Recurrent Nasopharyngeal Carcinoma in High-Incidence Area
The Scientific World Journal
title 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_short Clinical Characteristics of Recurrent Nasopharyngeal Carcinoma in High-Incidence Area
title_sort clinical characteristics of recurrent nasopharyngeal carcinoma in high incidence area
url http://dx.doi.org/10.1100/2012/719754
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AT feihan clinicalcharacteristicsofrecurrentnasopharyngealcarcinomainhighincidencearea