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The efficacy and safety of concurrent chemoradiotherapy for maxillary sinus squamous cell carcinoma patients
- Source :
-
Auris Nasus Larynx . Oct2009, Vol. 36 Issue 5, p547-554. 8p. - Publication Year :
- 2009
-
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]
Details
- Language :
- English
- ISSN :
- 03858146
- Volume :
- 36
- Issue :
- 5
- Database :
- Academic Search Index
- Journal :
- Auris Nasus Larynx
- Publication Type :
- Academic Journal
- Accession number :
- 43872465
- Full Text :
- https://doi.org/10.1016/j.anl.2008.11.002