{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T03:45:47Z","timestamp":1790739947739,"version":"4.1.0"},"reference-count":15,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,10,12]],"date-time":"2020-10-12T00:00:00Z","timestamp":1602460800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>No surgical or radiotherapeutic treatment guidelines exist for oligometastatic head and neck squamous cell carcinoma (oHNSCC), and only recently have interventions with curative intent been studied. Herein, we sought to elucidate survival rates among patients with oHNSCC to determine if treatment with curative intent is warranted in this population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively reviewed cases of oHNSCC treated between March 1998 and March 2018. Fisher's exact test was used to compare patients treated with radiotherapy (RT) to those who underwent surgical excision and to compare outcomes of patients with oligometastases at the time of initial presentation to those that developed oligometastatic disease after primary treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighty one patients with metastases to the lungs, ribs, pelvis, vertebral column, liver, clavicle, and sternum were included. Overall, 32 patients (40%) were alive 5\u2009years post\u2010treatment. The site of metastasis, the modality of treatment, and the time of development of oligometastatic disease did not significantly affect 5\u2010year survival.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Herein, we demonstrate that multi\u2010modality treatment of oHNSCC is warranted for some patients with an estimated 40% 5\u2010year survival. Aggressive treatment of the primary and regional sites is necessary in addition to treatment of the metastatic site and incurs a survival benefit compared to patients with metastatic HNSCC treated with systemic therapy alone. oHNSCC should be approached separately from polymetastatic disease. Patients should be counseled about the possibility for long\u2010term survival, and aggressive initial treatment with the intention for cure should be considered in this population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4 <jats:italic>Laryngoscope<\/jats:italic>, 131:E1476\u2013E1480, 2021<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.29115","type":"journal-article","created":{"date-parts":[[2020,10,12]],"date-time":"2020-10-12T17:52:48Z","timestamp":1602525168000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Treatment of Oligometastatic Disease in Squamous Cell Carcinoma of the Head and Neck"],"prefix":"10.1002","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0793-1532","authenticated-orcid":false,"given":"Aurora G.","family":"Vincent","sequence":"first","affiliation":[{"name":"Facial Plastic Surgery Associates  Fort Worth Texas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3155-1828","authenticated-orcid":false,"given":"Weitao","family":"Wang","sequence":"additional","affiliation":[{"name":"Facial Plastic Surgery Associates  Fort Worth Texas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom","family":"Shokri","sequence":"additional","affiliation":[{"name":"Pennsylvania State Hershey Medical Center, Otolaryngology \u2013 Head and Neck Surgery  Hershey Pennsylvania U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yadranko","family":"Ducic","sequence":"additional","affiliation":[{"name":"Facial Plastic Surgery Associates  Fort Worth Texas 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