Long-term results of a multimodal intensification regimen for previously untreated advanced resectable squamous cell cancer of the oral cavity, oropharynx, or hypopharynx.
Laryngoscope
; 116(4): 607-12, 2006 Apr.
Article
em En
| MEDLINE
| ID: mdl-16585867
ABSTRACT
BACKGROUND:
Long-term disease control of an intensified treatment regimen for previously untreated stage III and IV resectable oral cavity, oropharyngeal, or hypopharyngeal squamous cell carcinoma was analyzed.METHODS:
Forty-three patients with previously untreated, advanced stage, resectable squamous carcinomas of the oral cavity, oropharynx, or hypopharynx were enrolled in a prospective phase II institutional clinical trial at a tertiary care National Cancer Institute-designated comprehensive cancer center. It includes preoperative accelerated hyperfractionated radiotherapy with concurrent cisplatin followed immediately by surgery and intraoperative radiotherapy, and completed with early postoperative weekly paclitaxel, two additional cisplatin cycles, and concurrent once-daily radiotherapy beginning on day 28 after surgery.RESULTS:
Forty-three patients enrolled in the study. Protocol compliance was 53%. The range of time at risk was 10.4 to 56.23 months (median, 45 months). The locoregional (93%) and systemic (91%) disease control rates were excellent. Overall long-term survival was 79%.CONCLUSIONS:
An intensive treatment regimen that improves compliance and long-term disease control is clearly feasible for this patient population.
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Base de dados:
MEDLINE
Assunto principal:
Procedimentos Cirúrgicos Otorrinolaringológicos
/
Neoplasias Bucais
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Carcinoma de Células Escamosas
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Neoplasias Hipofaríngeas
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Neoplasias Orofaríngeas
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Antineoplásicos
Tipo de estudo:
Clinical_trials
/
Guideline
/
Observational_studies
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Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2006
Tipo de documento:
Article