Integration of chemotherapy in an MFD-radiotherapy plan for advanced inoperable squamous cell carcinoma of the head and neck

From January 1987 to May 1988, 16 patients with advanced squamous cell carcinoma of the head and neck received combined treatment, based on an alternating schedule of chemotherapy and multiple fractions per day (MFD)‐radiotherapy. The chemotherapy regimen consisted of cisplatin, 20 mg/m2, followed b...

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Veröffentlicht in:Head & neck 1990-01, Vol.12 (1), p.60-65
Hauptverfasser: Corvo, Renzo, Merlano, Marco, Looney, William B., Benasso, Marco, Bacigalupo, Almalina, Margarino, Giovanni
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container_end_page 65
container_issue 1
container_start_page 60
container_title Head & neck
container_volume 12
creator Corvo, Renzo
Merlano, Marco
Looney, William B.
Benasso, Marco
Bacigalupo, Almalina
Margarino, Giovanni
description From January 1987 to May 1988, 16 patients with advanced squamous cell carcinoma of the head and neck received combined treatment, based on an alternating schedule of chemotherapy and multiple fractions per day (MFD)‐radiotherapy. The chemotherapy regimen consisted of cisplatin, 20 mg/m2, followed by 5‐fluorouracil (5‐FU), 200 mg/m2 i.v. push, from days 1 to 5 during weeks 1, 5, and 9. Radiotherapy was administered in two courses of 32 Gy each (total dose, 64 Gy) during weeks 2 and 3 and 6 and 7. Each course was given in two fractions per day, 5 days per week. The 16 patients were evaluated for toxicity and response. We observed 7 complete responders, 6 partial responders, and 3 nonresponders. The overall response rate was 81%. Toxicity was heavy: 44% of the patients developed grade III‐IV mucositis. Our results suggest that cisplatin and 5‐fluorouracil alternating with MFD‐radiotherapy is effective; however, a new less toxic scheduling must be determinated.
doi_str_mv 10.1002/hed.2880120108
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Stomatology</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Corvo, Renzo</creatorcontrib><creatorcontrib>Merlano, Marco</creatorcontrib><creatorcontrib>Looney, William B.</creatorcontrib><creatorcontrib>Benasso, Marco</creatorcontrib><creatorcontrib>Bacigalupo, Almalina</creatorcontrib><creatorcontrib>Margarino, Giovanni</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Head &amp; neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Corvo, Renzo</au><au>Merlano, Marco</au><au>Looney, William B.</au><au>Benasso, Marco</au><au>Bacigalupo, Almalina</au><au>Margarino, Giovanni</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Integration of chemotherapy in an MFD-radiotherapy plan for advanced inoperable squamous cell carcinoma of the head and neck</atitle><jtitle>Head &amp; neck</jtitle><addtitle>Head Neck</addtitle><date>1990-01</date><risdate>1990</risdate><volume>12</volume><issue>1</issue><spage>60</spage><epage>65</epage><pages>60-65</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><abstract>From January 1987 to May 1988, 16 patients with advanced squamous cell carcinoma of the head and neck received combined treatment, based on an alternating schedule of chemotherapy and multiple fractions per day (MFD)‐radiotherapy. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
Aged
Biological and medical sciences
Carcinoma, Squamous Cell - drug therapy
Carcinoma, Squamous Cell - radiotherapy
Carcinoma, Squamous Cell - therapy
Cisplatin - therapeutic use
Combined Modality Therapy
Drug Administration Schedule
Female
Fluorouracil - therapeutic use
Head and Neck Neoplasms - drug therapy
Head and Neck Neoplasms - radiotherapy
Head and Neck Neoplasms - therapy
Humans
Male
Medical sciences
Middle Aged
Otorhinolaryngology (head neck, general aspects and miscellaneous)
Otorhinolaryngology. Stomatology
Tumors
title Integration of chemotherapy in an MFD-radiotherapy plan for advanced inoperable squamous cell carcinoma of the head and neck
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