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

Journal Article (Journal Article;Review)

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.

Full Text

Duke Authors

Cited Authors

  • Ridge, JA; Lawson, J; Yom, SS; Garg, MK; McDonald, MW; Quon, H; Saba, N; Salama, JK; Smith, RV; Worden, F; Yeung, AR; Beitler, JJ

Published Date

  • January 2014

Published In

Volume / Issue

  • 36 / 1

Start / End Page

  • 3 - 8

PubMed ID

  • 23696520

Electronic International Standard Serial Number (EISSN)

  • 1097-0347

Digital Object Identifier (DOI)

  • 10.1002/hed.23381


  • eng

Conference Location

  • United States