American college of radiology appropriateness criteria® treatment of stage i T1 glottic cancer

John A. Ridge, Joshua Lawson, Sue S. Yom, Madhur Kumar Garg, Mark W. McDonald, Harry Quon, Nabil Saba, Joseph K. Salama, Richard V. Smith, Francis Worden, Anamaria Reyna Yeung, Jonathan J. Beitler

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Background Controversy surrounds the appropriate therapy for T1 glottic cancer. Both transoral endolaryngeal resection and radiation offer excellent local control and voice quality; some lesions are best addressed with resection and others with radiation. Methods The American College of Radiology (ACR) Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed by a multidisciplinary expert panel. The guideline development includes an analysis of current literature from peer reviewed journals and the well-established "modified Delphi" consensus methodology to rate the appropriateness of treatment. Where evidence is not definitive, expert opinion informed recommendations. Results The ACR Expert Panel on Radiation Oncology - Head and Neck Cancer developed consensus recommendations for treatment of T1 glottic cancer. Treatment planning is complex and decisions nuanced. Conclusion Best treatment for a particular cancer cannot be defined without consideration of the lesion's location, extent, depth of invasion, and quality of surgical exposure during direct laryngoscopy.

Original languageEnglish (US)
Pages (from-to)3-8
Number of pages6
JournalHead and Neck
Issue number1
StatePublished - Jan 2014


  • appropriateness criteria
  • endolaryngeal surgery
  • glottic cancer
  • radiotherapy
  • transoral surgery

ASJC Scopus subject areas

  • Otorhinolaryngology


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