Elective Irradiation of the Lower Cervical Region in Patients at High Risk for Recurrent Cancer at the Tracheal Stoma

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Abstract
The results of treatment for recurrent cancer at the tracheal stoma were poor. During 1971-1976, elective postoperative irradiation of the neck was given to 26 high-risk patients with carcinoma of the larynx and hypopharynx. None of the 22 patients whose stomas were irradiated developed stomal or peristomal recurrence, while 2 of 4 patients whose stomas were shielded had stomal recurrence. Elective irradiation of the tracheal stoma was effective in preventing stomal recurrence. Inclusion of the stomal area in preoperative or postoperative irradiation to the lower cervical region is recommended for high-risk patients.

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