The 1-year mortality after radiotherapy for nasopharyngeal carcinoma: a population-based analysis

Future Oncol. 2019 Oct;15(29):3357-3365. doi: 10.2217/fon-2019-0371. Epub 2019 Aug 14.

Abstract

Aim: To assess the incidence and predictors of nasopharyngeal carcinoma (NPC)-specific mortality in the first year among NPC patients. Methods: We identified 2714 patients in the SEER program. Results: Of the patients, 151 (5.6%) patients who died as NPC-related disease within 1 year of diagnosis. Specifically, 67.5% of the NPC-related deaths were attributed to keratinizing tumors, while 67.6% were attributed to advanced T stage. Older age, keratinizing squamous tumors and stage T3-4 disease were independent predictors of 1-year NPC-related death. Conclusion: The 1-year mortality rate is low among NPC patients after radiotherapy. Older age, keratinizing tumor and advanced T stage are predictors of high-mortality risk within 1 year in NPC patients.

Keywords: age; early mortality; histology; nasopharyngeal carcinoma; tumor stage.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Carcinoma, Squamous Cell / metabolism
  • Carcinoma, Squamous Cell / mortality*
  • Carcinoma, Squamous Cell / pathology
  • Carcinoma, Squamous Cell / radiotherapy
  • Child
  • Female
  • Follow-Up Studies
  • Humans
  • Keratins / metabolism
  • Male
  • Middle Aged
  • Nasopharyngeal Neoplasms / metabolism
  • Nasopharyngeal Neoplasms / mortality*
  • Nasopharyngeal Neoplasms / pathology
  • Nasopharyngeal Neoplasms / radiotherapy
  • Prognosis
  • Radiotherapy / mortality*
  • Retrospective Studies
  • SEER Program
  • Survival Rate
  • Time Factors
  • Young Adult

Substances

  • Keratins