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• W4307966334 startingPage "1906" @default.
• W4307966334 abstract "Objectives To explore the prevalence of hypopharyngeal carcinoma (HPC) with synchronous second primary malignancies (Syn‐SPMs), their impact on clinical outcomes, and associated risk factors in the image‐enhanced endoscopy era. Materials and Methods We retrospectively analyzed 673 patients newly diagnosed with HPC at our cancer center between 2009 and 2019. The patients were divided into three groups: (a) no second primary malignancies (N‐SPMs, n = 533); (b) synchronous carcinoma in situ (Syn‐Tis, n = 60); (c) synchronous invasive tumors (Syn‐invasive, n = 80). Propensity score matching was conducted to balance the N‐SPMs and Syn‐invasive groups at a 3:1 ratio. Results Most (96.1%) underwent pretreatment esophagogastroduodenoscopy evaluation with image‐enhanced endoscopy. The incidence rates were: Syn‐SPMs, 20.8%; Syn‐Tis, 8.9%; Syn‐invasive, 11.9%. At a median follow‐up of 66.7 months, the Syn‐Tis and N‐SPMs groups had a similar 5‐year overall survival (OS; 45.6% vs. 44.5%; hazard ratio [HR], 0.956; 95% confidence interval [CI], 0.660–1.385; p = 0.806). Compared to the N‐SPMs group, the Syn‐invasive group had poorer 5‐year OS (27.0% vs. 52.9%; HR, 2.059; 95% CI, 1.494–2.839; p < 0.001). Alcohol consumption was significantly associated with Syn‐SPMs occurrence (odds ratio, 2.055, 2.414, and 3.807 for light, intermediate, and heavy drinkers, respectively). Conclusion The prevalence of Syn‐SPMs among patients with HPC was high. Syn‐invasive SPMs decreased the survival of patients with HPC. Routine screening with image‐enhanced endoscopy should be recommended to detect early‐stage SPMs, especially for heavy alcohol drinkers. Level of Evidence 3 Laryngoscope , 133:1906–1913, 2023" @default.
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• W4307966334 date "2022-11-02" @default.
• W4307966334 modified "2023-09-22" @default.
• W4307966334 title "Synchronous Second Primary Cancers of Hypopharyngeal Carcinoma in the Image‐Enhanced Endoscopy Era" @default.
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• W4307966334 doi "https://doi.org/10.1002/lary.30420" @default.
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