{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T11:27:12Z","timestamp":1786706832543,"version":"build-2736575974"},"reference-count":38,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T00:00:00Z","timestamp":1769731200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T00:00:00Z","timestamp":1769731200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82403372"],"award-info":[{"award-number":["82403372"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100021171","name":"Basic and Applied Basic Research Foundation of Guangdong Province","doi-asserted-by":"publisher","award":["2022A1515110147"],"award-info":[{"award-number":["2022A1515110147"]}],"id":[{"id":"10.13039\/501100021171","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002858","name":"China Postdoctoral Science Foundation","doi-asserted-by":"publisher","award":["2021M703712"],"award-info":[{"award-number":["2021M703712"]}],"id":[{"id":"10.13039\/501100002858","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012166","name":"National Key Research and Development Program of China","doi-asserted-by":"publisher","award":["2020YFC1316903"],"award-info":[{"award-number":["2020YFC1316903"]}],"id":[{"id":"10.13039\/501100012166","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The optimal therapeutic strategy for patients with T2\u20103N0\u20103\u2009M0 or T1N1\u20103\u2009M0 hypopharyngeal squamous cell carcinoma (HPSCC) and the use of postoperative radiotherapy with or without systemic therapy for patients with T1\u20102N1M0 HPSCC remain controversial. We aimed to determine whether these additional treatments improve the prognosis in HPSCC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively analyzed the databases held by the SEER (surveillance, epidemiology, and end results) program and a tertiary referral center in China to evaluate the survival outcomes of surgical intervention for T2\u20103N0\u20103\u2009M0 and T1N1\u20103\u2009M0 HPSCC and of postoperative radiotherapy for T1\u20102N1M0 disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The SEER contained data for 1235 patients with T2\u20103N0\u20103\u2009M0 or T1N1\u20103\u2009M0 HPSCC, of whom 220 underwent surgery as their first treatment and 737 received non\u2010surgical treatment. There was no statistically significant difference in overall survival (OS) between these two groups. Data were also available for 30 patients in the SEER who were treated by surgery alone (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200911), surgery plus postoperative radiotherapy (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20097), or surgery plus postoperative radiotherapy with systemic therapy (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200912). Similarly, 23 patients at our hospital were identified to have been treated by surgery alone (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20097), surgery plus postoperative radiotherapy (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200910), or surgery plus postoperative radiotherapy with systemic therapy (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20096). The SEER data indicated that postoperative radiotherapy improved OS (hazard ratio 0.281, 95% confidence interval 0.079\u20130.998;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.036). This finding was supported by the data from our hospital, although the improvement in OS was not statistically significant (hazard ratio 0.360, 95% confidence interval 0.057\u20132.261;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.224). Postoperative radiotherapy with systemic therapy seemed not to improve OS beyond that achieved by postoperative radiotherapy alone.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>There was no significant difference in OS in patients with T2\u20103N0\u20103\u2009M0 or T1N1\u20103\u2009M0 HPSCC according to whether or not they underwent surgery as first\u2010line treatment. Surgery plus postoperative radiotherapy was associated with a more favorable prognosis than surgery alone in patients with T1\u20102N1M0 HPSCC.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cam4.71555","type":"journal-article","created":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T10:16:23Z","timestamp":1769768183000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Survival Benefit of Adjuvant Radiotherapy After Surgery in Patients With\n                    <scp>T1<\/scp>\n                    \u2010\n                    <scp>2N1M0<\/scp>\n                    Hypopharyngeal Squamous Cell Carcinoma: A Dual\u2010Cohort Analysis of\n                    <scp>SEER<\/scp>\n                    and Institutional Data"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6527-4916","authenticated-orcid":false,"given":"Zhangwei","family":"Hu","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, the First Affiliated Hospital Sun Yat\u2010Sen University  Guangzhou Guangdong People's Republic of China"},{"name":"Otorhinolaryngology Institute Sun Yat\u2010Sen University  Guangzhou Guangdong People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renqiang","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, the First Affiliated Hospital Sun Yat\u2010Sen University  Guangzhou Guangdong People's Republic of China"},{"name":"Otorhinolaryngology Institute Sun Yat\u2010Sen University  Guangzhou Guangdong People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5102-7156","authenticated-orcid":false,"given":"Yihui","family":"Wen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, the First Affiliated Hospital Sun Yat\u2010Sen University  Guangzhou Guangdong People's Republic of China"},{"name":"Otorhinolaryngology Institute Sun Yat\u2010Sen University  Guangzhou Guangdong People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Deng","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, the First Affiliated Hospital Sun Yat\u2010Sen University  Guangzhou Guangdong People's Republic of China"},{"name":"Otorhinolaryngology Institute Sun Yat\u2010Sen University  Guangzhou Guangdong People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1044-3767","authenticated-orcid":false,"given":"Wei","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, the First Affiliated Hospital Sun Yat\u2010Sen University  Guangzhou Guangdong People's Republic of China"},{"name":"Otorhinolaryngology Institute Sun Yat\u2010Sen University  Guangzhou Guangdong People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5101-9754","authenticated-orcid":false,"given":"Lin","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, the First Affiliated Hospital Sun Yat\u2010Sen University  Guangzhou Guangdong People's Republic of China"},{"name":"Otorhinolaryngology Institute Sun Yat\u2010Sen University  Guangzhou Guangdong People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siyu","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, the First Affiliated Hospital Sun Yat\u2010Sen University  Guangzhou Guangdong People's Republic of China"},{"name":"Otorhinolaryngology Institute Sun Yat\u2010Sen University  Guangzhou Guangdong People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weiping","family":"Wen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, the First Affiliated Hospital Sun Yat\u2010Sen University  Guangzhou Guangdong People's Republic of China"},{"name":"Otorhinolaryngology Institute Sun Yat\u2010Sen University  Guangzhou Guangdong People's Republic of China"},{"name":"Department of Otolaryngology, the Sixth Affiliated Hospital of Sun Yat\u2010Sen University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenbin","family":"Lei","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, the First Affiliated Hospital Sun Yat\u2010Sen University  Guangzhou Guangdong People's Republic of China"},{"name":"Otorhinolaryngology Institute Sun Yat\u2010Sen University  Guangzhou Guangdong People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,30]]},"reference":[{"key":"e_1_2_12_2_1","first-page":"1","article-title":"Radiomics in Hypopharyngeal Cancer Management: A State\u2010Of\u2010The\u2010Art Review","volume":"11","author":"Chiesa\u2010Estomba C. 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