American college of radiology appropriateness criteria® treatment of stage I T1 glottic cancer. Issue 1 (18th September 2013)

• Record Type: Journal Article
• Authors: 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.
• Is Part Of: Head & neck. Volume 36:Issue 1(2014:Jan.)
• Page Start: 3
• Page End: 8
• Publication Date: 2013-09-18
• Subjects: Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.23381
• Languages: English
• ISSNs: 1043-3074

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="hed23381-sec-0001" sec-type="section"> <title>Background</title> <p>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.</p> </sec> <sec id="hed23381-sec-0002" sec-type="section"> <title>Methods</title> <p>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.</p> </sec> <sec id="hed23381-sec-0003" sec-type="section"> <title>Results</title> <p>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.</p> </sec> <sec id="hed23381-sec-0004" sec-type="section"> <title>Conclusion</title> <p>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. © 2013 American College of Radiology. Head & Neck © 2013 Wiley Periodicals, Inc. <italic>Head Neck</italic><bold>36</bold>: 3–8, 2014</p> </sec> </abstract>