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Experiences with intra-arterial chemotherapy for head and neck cancer

✍ Scribed by D. J. Jussawalla; Dr. P. A. Shetty


Publisher
John Wiley and Sons
Year
1978
Tongue
English
Weight
282 KB
Volume
10
Category
Article
ISSN
0022-4790

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✦ Synopsis


During the 10-year period from 1966-1975, 250 patients with various head and neck cancers were treated by intra-arterial chemotherapy using single agents or various combinations. Only 15 patients showed response of I-C category according to Karnofsky's criteria, and 100 patients had I-B response. Another 100 patients showed I-A category of response and 35 patient had progressive disease out of which 5 patients exhibited excessive toxicity to drugs, eventually succumbing to it. A majority of patients in nonresponding (O-O) category and I-A category were earlier treated by radiotherapy, and intra-arterial chemotherapy was given for recurrent disease. The responses were relatively good whenever chemotherapy was given as a primary treatment before surgery and radiotherapy. Again response was additive when chemotherapy was given concurrently with radiotherapy.


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Although it would appear that there is no difference in outcomes for intra‐arterial (IA) versus intravenous cisplatin chemoradiotherapy, one must consider the technique by which the tumors were infused. The authors used the less effective method of bilateral infusion in 58% of patients compared to <