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A trial of outpatient chemotherapy for recurrent head and neck tumors

✍ Scribed by Andrew T. Huang; Virgil S. Lucas; Sandra G. Baughn; T. Boyce Cole


Publisher
John Wiley and Sons
Year
1980
Tongue
English
Weight
338 KB
Volume
45
Category
Article
ISSN
0008-543X

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✦ Synopsis


A four-drug combination chemotherapy (bleomycin-methotrexate-vinblastine-CCNU) had been used in 38 evaluable patients with recurrent squamous cell carcinoma of the head and neck region on an outpatient basis. A large number of these patients had carcinoma of the oral cavity (45% of total). Nineteen patients (50%) responded to this regimen with a greater than or equal to 50% regression of their measured tumors. The median survival of all patients was 34 weeks. There was one chemotherapy-related death and the overall toxicity was mild. This convenient regimen can be considered a useful alternative to more aggressive therapy.


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Background. Our study is a prospective evaluation of unresectable malignant cancers of the head and neck treated with concomitant chemotherapy and radiotherapy (RT) using delayed accelerated fractionation (concomitant boost). Methods: Between January 1988 and March 1995, 82 patients with unresectab