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Oncologic outcomes of human papillomavirus-associated oropharynx carcinoma treated with surgery alone: A 12-institution study of 344 patients.

William R RyanMary J XuEdgar OchoaKarolina A Plonowska-HirschfeldAaron L ZebolskyPatrick K HaArnaud F BewleyJonathan Mallen-St ClairArjun S JoshiCharles S CoffeyFarhoud FarajiBridget V MacDonaldJeffrey J HoultonTheodore A GobillotJoseph M CurryRamez PhilipsTrevor G HackmanJeremy D RichmonAndrew J HolcombAndrew M CoughlinAru PanwarRussell B SmithMatthew E HerbergCarole A FakhryDavid M Cognetti
Published in: Cancer (2021)
With careful selection, surgery alone for AJCC 7th pT0-T2N0-N2b HPV+OPSCC with zero to 3 pathologic LNs without perineural invasion, extranodal extension, or positive margins results in high DFS, DSS, OS, and salvage treatment success. Because of the short-term follow-up, these data support further investigation of treatment de-escalation in this population.
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