Lokal ileri evre skuamöz hücreli baş ve boyun kanserinde sisplatinle eş zamanlı kemoradyoterapi: Yan etki ve uygulanabilirlik analizi

Beste Melek Atasoy; Faysal Dane; Murat Sarı; Züleyha Akgün; Perran Fulden Yumuk; Nazım Serdar Turhal; Ufuk Abacıoğlu; Meriç Şengöz

Cisplatin-based concomitant chemoradiotherapy in locally advanced squamous cell carcinoma of head and neck: Toxicity and feasibility analysis

Yıl 2008, Cilt: 23 Sayı: 1, 1 - 11, 01.02.2008

Beste Melek Atasoy Faysal Dane Murat Sarı Züleyha Akgün Perran Fulden Yumuk Nazım Serdar Turhal Ufuk Abacıoğlu Meriç Şengöz

Öz

OBJECTIVES In this study, we assessed the side effects and the factors related to patients, disease and, treatment that might change the decision for concurrent chemoradiotherapy (CRT) in locally advanced head and neck cancer. METHODS A total of 65 patients (49 primary; 16 postoperative) who received curative radiotherapy (median 70 Gy) with conventional fractionation schedule were enrolled into the study. Concomitant cisplatin were administered either 60-80 mg/m2 every 3 weeks (n=57) or 40 mg/m2 weekly (n=8). RESULTS Concurrent chemotherapy was completed in 46.1% patients. Premature chemotherapy termination was done due to grade 3 adverse event (41.6%), patients' refusal (19.4%) or physician decision (33.3%). Initial Karnofsky Performance Status (KPS) significantly predicted concurrent chemotherapy completeness (KPS ≥90, 63.8% vs KPS

Anahtar Kelimeler

Carcinoma, Squamous Cell, Head and Neck Neoplasms, Radiotherapy, Chemotherapy, Adjuvant, Combined Modality Therapy, Adverse effects, Cisplatin, Feasibility Studies

Kaynakça

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