Intraarterial Concomitant Chemoradiation for Tongue Cancer: Analysis of 20 Patients

  • Endo Sohei
    Department of Otorhinolaryngology-Head and Neck Surgery, Nihon University School of Medicine
  • Suzuki Shin
    Department of Otorhinolaryngology-Head and Neck Surgery, Nihon University School of Medicine
  • Tsuji Kenzo
    Department of Otorhinolaryngology-Head and Neck Surgery, Nihon University School of Medicine
  • Niwa Hideo
    Department of Otorhinolaryngology-Head and Neck Surgery, Nihon University School of Medicine
  • Noguchi Yugo
    Department of Otorhinolaryngology-Head and Neck Surgery, Nihon University School of Medicine
  • Yoshida Kenji
    Department of Otorhinolaryngology-Head and Neck Surgery, Nihon University School of Medicine
  • Kida Akinori
    Department of Otorhinolaryngology-Head and Neck Surgery, Nihon University School of Medicine
  • Tanaka Yoshiaki
    Department of Radiology, Nihon University School of Medicine
  • Himi Kazuhisa
    Department of Radiology, Nihon University School of Medicine
  • Takemoto Akiko
    Department of Radiology, Nihon University School of Medicine

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Other Title
  • 舌癌に対する超選択的動注併用照射療法の効果
  • ゼツガン ニ タイスル チョウセンタクテキドウ チュウ ヘイヨウ ショウシャ リョウホウ ノ コウカ

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Abstract

Subjects were 20 patients with tongue cancer treated between April 1996 and December 2002 with intraarterial infusion of cisplatin (60-120mg/m2) (and docetaxel 10-30mg/m2) and intravenous infusion of sodium thiosulfate followed by 5-fluorouracil (5-FU) (800-1000mg/m2) for 3 to 5 days. All patients underwent radiation (50-80 Gy). Ten had stage II, 4 stage III, and 6 stage IV A disease. Complete response at the primary site was achieved in 50% for T2, 67% for T3, and 0% for T4 lesions in those undergoing IA cisplatin followed by systemic 5-FU with concurrent radiation. Complete response at the primary site was achieved in all patients given IA cisplatin and docetaxel followed by systemic 5-FU with concurrent radiation. Disease-specific survival was 75% and overall survival 69% at 5 years. Side effects of treatment were tolerable, except for grade three radiomucositis in 70% of patients and grade three bone marrow depression in one treated with weekly LA chemotherapy.

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