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Nutritional support and prognosis in patients with head and neck cancer

✍ Scribed by Dr. Marvin J. Lopez; Pat Robinson; Tim Madden; Toni Highbarger

Publisher
John Wiley and Sons
Year
1994
Tongue
English
Weight
403 KB
Volume
55
Category
Article
ISSN
0022-4790

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✦ Synopsis

We retrospectively studied the relationship between nutritional status as indicated by the presence or absence of the cutaneous delayed hypersensitivity response and treatment-related morbidity, disease recurrence, and survival at 2 years in 67 consecutive patients with head and neck carcinoma. Serial nutritional assessments were conducted throughout the course of combined initial antineoplastic treatment and nutritional support. The presence of cell-mediated immunity at the end of treatment was associated with a 2-year survival rate of 10096, whereas patients who were anergic at the end of treatment had a 2-year survival rate of 48% ( P < 0.01). Morbidity due to surgical therapy and tumor recurrence rates were also higher in the anergic group (P < 0.01). Prognosis in head and neck cancer is based on many factors, but vigorous nutritional support during initial treatment may have some effect on morbidity, tumor recurrence, and survival time. 0 1994 WiIey-Liss, Inc.

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