Pre-Op MRI for Tonsil Cancer
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores whether an MRI before surgery can predict the success of removing HPV-linked tonsil cancer using transoral robotic surgery. The researchers aim to determine if the MRI can reveal the extent of cancer remaining after surgery. Adults with HPV-positive tonsil cancer considering robotic surgery may qualify for this study. As an unphased trial, it offers a unique opportunity to contribute to innovative research that could enhance surgical outcomes for future patients.
Do I need to stop my current medications for the trial?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What prior data suggests that this pre-operative MRI is safe for predicting margin status in TORS for HPV+ tonsillar SCC?
Research has shown that transoral robotic surgery (TORS) safely treats HPV-positive tonsil cancer. Studies have found that TORS is widely used and carries a very low risk of serious complications, allowing most patients to handle it well. One study found that TORS is safe and effective, particularly for patients with small head and neck cancers. These findings suggest that TORS could be a dependable treatment with manageable risks for those considering this surgery.12345
Why are researchers excited about this trial?
Researchers are excited about using pre-operative MRI for tonsil cancer because it provides a detailed view of the tumor before surgery, which isn't standard in current treatment protocols. Traditional methods often rely on CT scans or physical exams, which may not capture the full extent of the cancer. MRI offers more precise imaging, potentially allowing surgeons to plan more effective and less invasive procedures, like transoral robotic surgery. By improving surgical outcomes and reducing recovery time, this approach could significantly enhance patient care.
What evidence suggests that pre-operative MRI is effective for predicting margin status in HPV+ tonsil cancer?
Studies have shown that transoral robotic surgery (TORS) effectively treats HPV-positive tonsillar squamous cell carcinoma, a type of throat cancer. The disease-specific survival rate exceeds 93%, indicating that most patients live without cancer recurrence. Patients treated with TORS have a locoregional control rate of about 92%, meaning the cancer remains controlled in its original area. Research also shows an excellent overall survival rate, with 91% of patients surviving for at least two years. These results suggest that TORS is a strong option for treating this type of cancer.13567
Are You a Good Fit for This Trial?
This trial is for individuals with HPV+ tonsillar squamous cell carcinoma who are candidates for transoral robotic surgery (TORS). The study will use pre-op MRI to predict if cancer cells have been completely removed. Participants must be suitable for MRI and TORS.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Pre-operative MRI
Participants undergo a pre-operative MRI to evaluate the pharyngeal constrictor muscle using a five-point grading scale
Surgery
Participants undergo transoral robotic surgery (TORS) for HPV+ tonsillar squamous cell carcinoma
Follow-up
Participants are monitored for surgical outcomes and margin status post-surgery
What Are the Treatments Tested in This Trial?
Interventions
- Transoral Robotic Surgery
Find a Clinic Near You
Who Is Running the Clinical Trial?
Case Comprehensive Cancer Center
Lead Sponsor