Status:

ACTIVE_NOT_RECRUITING

Upfront Neck Dissection Before Radiotherapy in Stage N3 Nasopharyngeal Carcinoma: A Retrospective Study

Lead Sponsor:

Taichung Veterans General Hospital

Conditions:

Oncology

Radiology

Eligibility:

All Genders

18+ years

Brief Summary

This retrospective observational study aims to evaluate the association between neck tumor burden and high-risk imaging features with locoregional recurrence and distant metastasis in patients with st...

Detailed Description

Nasopharyngeal carcinoma (NPC), due to its anatomical proximity to the skull base and critical cervical structures, is primarily treated with radiotherapy. However, even with current standard treatmen...

Eligibility Criteria

Inclusion

  • Age ≥ 18 years.
  • Pathologically confirmed diagnosis of nasopharyngeal carcinoma (NPC).
  • Stage IV disease (Tany N3) according to the 8th edition of the AJCC staging system.
  • Completion of definitive concurrent chemoradiotherapy (CCRT), or induction chemotherapy (IC) followed by radiotherapy/CCRT.
  • Availability of complete clinical imaging and medical records before and after treatment for efficacy and prognostic analysis.

Exclusion

  • Presence of distant metastasis at initial diagnosis.
  • Prior history of treatment for other head and neck malignancies, aside from definitive therapy for NPC (to avoid confounding prognosis).
  • Incomplete or prematurely discontinued definitive radiotherapy, resulting in failure to complete the planned curative treatment.
  • Lack of complete pathology report, clinical imaging, or treatment records, making effective analysis impossible.

Key Trial Info

Start Date :

November 1 2022

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

September 29 2026

Estimated Enrollment :

7 Patients enrolled

Trial Details

Trial ID

NCT07180173

Start Date

November 1 2022

End Date

September 29 2026

Last Update

September 18 2025

Active Locations (1)

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Taichung Veterans General Hospital

Taichung, Taiwan