1. The efficacy and safety of concurrent chemoradiotherapy for maxillary sinus squamous cell carcinoma patients
- Author
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Nishimura, Goshi, Tsukuda, Mamoru, Mikami, Yasukazu, Matsuda, Hideki, Horiuchi, Choichi, Satake, Kenichi, Taguchi, Takahide, Takahashi, Masahiro, Kawakami, Mariko, Hanamura, Hideaki, Watanabe, Makiko, and Utsumi, Ai
- Subjects
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CANCER radiotherapy , *CANCER chemotherapy , *TREATMENT effectiveness , *MEDICAL care , *FOLLOW-up studies (Medicine) , *MAXILLARY sinus diseases , *CANCER treatment , *SAFETY ,MAXILLARY sinus cancer - Abstract
Abstract: Objective: Combined treatment modality, e.g., definitive surgery followed by radiotherapy (RT) and definitive RT with concurrent chemotherapy, has been applied for advanced maxillary sinus squamous cell carcinoma (MSSCC) patients to obtain a better survival with organ preservation in Japan. Methods: The outcome of 40 patients with MSSCC between 1991 and 2007 in our institute was analyzed retrospectively. There were 36 males and 4 females, the average age being 59.5 years (ranging from 34 to 81 years). The median follow-up time was 66.1 months. All the patients had received a combined treatment consisting of definitive surgery, RT, and intra-arterial or systemic chemotherapy. The chemotherapeutic regimen was different depending on the performance status and/or complications of the patients. Since 1998, concurrent chemoradiotherapy with cisplatin, 5-fluorouracil, methotrexate and leucovorin regimen (CCRT–PFML) instead of neo-adjuvant chemotherapy has been applied. Results: The overall 5-year survival rate was 59.2%, the 5-year disease-specific survival rate was 71.7%, and the 5-year organ preservation survival rate was 42.4%. In the group receiving CCRT–PFML, the overall 5-year survival rate was 60.0%, the 5-year disease-specific survival rate was 76.0%, and the 5-year organ preservation survival rate was 60.3%. Conclusion: CCRT–PFML for advanced MSSCC patients is feasible to preserve the organs without reducing the survival rate. [Copyright &y& Elsevier]
- Published
- 2009
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