Clinical evaluation of efficacy of infused CDDP dose in superselective intra-arterial chemoradiotherapy for maxillary sinus cancer

  • Yoshizaki Tomokazu
    Division of Otolaryngology-Head and Neck Surgery, Graduate School of Medical Science, Kanazawa University
  • Tsukatani Toshiaki
    Division of Otolaryngology-Head and Neck Surgery, Graduate School of Medical Science, Kanazawa University
  • Wakisaka Naohiro
    Division of Otolaryngology-Head and Neck Surgery, Graduate School of Medical Science, Kanazawa University
  • Murono Shigeyuki
    Division of Otolaryngology-Head and Neck Surgery, Graduate School of Medical Science, Kanazawa University
  • Kondo Satoru
    Division of Otolaryngology-Head and Neck Surgery, Graduate School of Medical Science, Kanazawa University
  • Takanaka Tsuyoshi
    Division of Radiology, Graduate School of Medical Science, Kanazawa University
  • Furukawa Mitsuru
    Division of Otolaryngology-Head and Neck Surgery, Graduate School of Medical Science, Kanazawa University

Bibliographic Information

Other Title
  • 急速動注化学療法による上顎洞癌治療―CDDP投与量との関連について―
  • ―CDDP投与量との関連について―

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Abstract

To evaluate the treatment efficacy of infused dose of cisplatin in intra-arterial chemoradiotherapy for maxillary sinus cancer, patients treated with superselective chemoradiotherapy were divided into a low-dose group (<450mg/body of cisplatin, n=7, follow-up period 5-60 months, median follow-up 26 months) and a high-dose group (>600mg/body of cisplatin, n=8, follow-up period 10-32 months, median follow-up 19 months). Of 22 cases, 15 cases who had received at least 2 courses of intra-arterial infusion of cisplatin were involved in this study. The high-dose group had a better overall survival rate and progression-free survival although it was not statistically significant. However, 5 of 7 patients in the low-dose group received partial maxillectomy or more invasive salvage surgery whereas none of the high-dose group did (p=0.0138). There was no significant difference of adverse effects in the two groups. These results suggest that 450mg of cisplatin is insufficient to control maxillary sinus cancer but 600mg of cisplatin is beneficial.

Journal

  • Toukeibu Gan

    Toukeibu Gan 33 (4), 434-438, 2007

    Japan Society for Head and Neck Cancer

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