Original Investigation

Postoperative SBRT and Severe Late Toxic Effects in Early-Stage Oropharyngeal and Oral Cavity Cancers

JAMA Network Open 10.1001/jamanetworkopen.2025.49975

December 18, 2025 at 11:00 AM EST

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What late toxic effects and clinical outcomes are associated with postoperative stereotactic body radiotherapy (SBRT) to the primary tumor bed among patients with early-stage oropharyngeal and oral cavity squamous cell carcinomas and high-risk resection margins?In this nonrandomized clinical trial including 90 patients, the incidence of severe late toxic effects at 2 years was 2.2%, and the 2-year local control rate was 92.0%. The trial met both predefined efficacy and safety targets.In this nonrandomized clinical trial, postoperative SBRT to the primary tumor bed appeared to be a safe and effective treatment option in this specific population.

Corresponding Author: Julian Biau, MD, PhD, Department of Radiotherapy, Jean Perrin Centre, 58 Rue Montalembert, BP 5026, 63011 Clermont-Ferrand Cedex 1, France (julian.biau@clermont-unicancer.fr).

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