“…McHugh et al compared the characteristics of radiation-induced craniofacial osteosarcoma with those of the corresponding primary tumors, and proposed that the poorer prognosis of radiation-induced osteosarcoma was related to the higher expression of adverse prognostic markers, such as p53, TP53 mutations, ezrin expression, and the higher proliferative activity [ 34 ]. In contrast, there are some reports of laryngeal and pharyngeal cancer after radiation for thyrotoxicosis and tuberculous lymphadenitis being successfully treated by radiation from a linear accelerator [ 35 , 36 ]. The choice of the therapeutic modality for radiation-induced cancer is affected not only by the nature of the tumor, but also by several patient factors, mainly the extent of the existing tissue damage.…”