Japanese Journal of Clinical Oncology Advance Access originally published online on September 26, 2005
Japanese Journal of Clinical Oncology 2005 35(10):572-579; doi:10.1093/jjco/hyi155
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© 2005 Foundation for Promotion of Cancer Research
Mitomycin and Fluorouracil in Combination with Concomitant Radiotherapy: A Potentially Curable Approach for Locally Advanced Head and Neck Squamous Cell Carcinoma
1 Department of Radiotherapy, King George's Medical University, Lucknow, Uttar Pradesh and 2 Department of Oncology, Batra Hospital and Medical Research Center, New Delhi, India
For reprints and all correspondence: Madhup Rastogi, Senior Resident, Department of Radiotherapy, King George's Medical University, Chowk, Lucknow 226003, Uttar Pradesh, India. E-mail: drmadhup1{at}rediffmail.com
Received May 10, 2005; accepted July 18, 2005
Objective: The purpose of this study was to evaluate the efficacy of radiotherapy and concurrent mitomycin-C (MC) plus 5-fluorouracil (5FU) infusion in locally advanced squamous cell carcinoma of the head and neck (SCCHN).
Methods: Sixty-nine patients with SCCHN (6 Stage III and 63 Stage IV patients) were treated with external beam radiotherapy (70 Gy) and simultaneous intravenous chemotherapy with 5FU (600 mg/m2/day, Days 15) and MC (10 mg/m2, Days 5 and 36).
Results: After a mean follow-up of 28.5 months, 59.4% of patients were alive without disease. Complete response was seen in 76.8% of patients. The 3 years overall survival, locoregional relapse-free survival and disease-free survival was 62.3, 89.8 and 49.5%, respectively. Treatment was well tolerated (Grade III mucositis in 43.5% and Grade II leukopenia in 5.8%).
Conclusions: This concurrent chemoradiotherapy regimen offers a curative option for our patients where primary and nodal disease is fairly large resulting in hypoxic radioresistant tumors.
Key Words: head and neck cancer radiotherapy concurrent mitomycin-C hemoglobin
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