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10.1245/s10434-020-08825-8

http://scihub22266oqcxt.onion/10.1245/s10434-020-08825-8
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suck abstract from ncbi


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pmid32661850      Ann+Surg+Oncol 2021 ; 28 (1): 502-11
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  • The Use and Benefit of Adjuvant Radiotherapy in Parathyroid Carcinoma: A National Cancer Database Analysis #MMPMID32661850
  • Limberg J; Stefanova D; Ullmann TM; Thiesmeyer JW; Bains S; Beninato T; Zarnegar R; Fahey TJ; Finnerty BM
  • Ann Surg Oncol 2021[]; 28 (1): 502-11 PMID32661850show ga
  • Background: The routine use of external beam radiotherapy (EBRT) is not recommended for parathyroid carcinoma (PC). However, case series have demonstrated a potential benefit in preventing local recurrence with EBRT. We aimed to characterize the patient population treated with EBRT and identify any impact of EBRT on overall survival (OS) in parathyroid carcinoma. Methods: Patients who underwent surgery for PC from 2004 to 2016 were identified from the National Cancer Database. Clinicopathologic variables and OS were compared between patients based on treatment with EBRT. Multivariable logistic and Cox regression models were performed with propensity scores and inverse-probability-weighting (IPW) adjustment to reduce treatment-selection bias in the OS analysis. Results: A total of 885 patients met the inclusion criteria, with 126 (14.2%) undergoing EBRT. Demographics were similar between the two cohorts (EBRT vs. no EBRT). However, patients treated with EBRT had a higher frequency of regionally extensive disease, nodal metastases, and residual microscopic disease (all p?
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