Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2005-5-30
pubmed:abstractText
Many resected patients with locally advanced head and neck cancer are found on pathological assessment to have high-risk features for recurrence. We thus performed a feasibility trial of post-operative radiotherapy with paclitaxel and carboplatin in high-risk carcinoma of the head and neck. All patients were planned for 6 cycles of weekly paclitaxel (40 mg/m2) and carboplatin (AUC=1) and concomitant radiotherapy, 60 Gy in 6 weeks. The most common side effect was grade 3 and 4 mucositis in 5/6 patients and g-tube placement in 4/6 patients. Five out of 6 patients remain alive without evidence of disease at a mean time of 19 months since completion of therapy. Our pilot study treated 6 postoperative patients. Since 4 of 6 enrolled patients were unable to complete the treatment as prescribed, we conclude that this regimen is not feasible. With an 83% grade 3 or 4 mucositis rate and 67% of patients enrolled requiring feeding tube placement, this regimen is not tolerable.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
1120-009X
pubmed:author
pubmed:issnType
Print
pubmed:volume
17
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
237-41
pubmed:dateRevised
2009-8-4
pubmed:meshHeading
pubmed-meshheading:15920912-Adult, pubmed-meshheading:15920912-Aged, pubmed-meshheading:15920912-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:15920912-Carboplatin, pubmed-meshheading:15920912-Carcinoma, Squamous Cell, pubmed-meshheading:15920912-Chemotherapy, Adjuvant, pubmed-meshheading:15920912-Combined Modality Therapy, pubmed-meshheading:15920912-Female, pubmed-meshheading:15920912-Head and Neck Neoplasms, pubmed-meshheading:15920912-Humans, pubmed-meshheading:15920912-Male, pubmed-meshheading:15920912-Middle Aged, pubmed-meshheading:15920912-Neoplasm Recurrence, Local, pubmed-meshheading:15920912-Neoplasm Staging, pubmed-meshheading:15920912-Paclitaxel, pubmed-meshheading:15920912-Pilot Projects, pubmed-meshheading:15920912-Postoperative Care, pubmed-meshheading:15920912-Prognosis, pubmed-meshheading:15920912-Radiotherapy, Adjuvant, pubmed-meshheading:15920912-Radiotherapy Dosage, pubmed-meshheading:15920912-Risk Assessment, pubmed-meshheading:15920912-Survival Analysis, pubmed-meshheading:15920912-Treatment Outcome
pubmed:year
2005
pubmed:articleTitle
Paclitaxel, carboplatin, and concomitant radiotherapy for resected patients with high risk head and neck cancer.
pubmed:affiliation
Department of Medicine, Division of Medical Oncology and Hematology, University of Illinois at Chicago, Chicago, Illinois, USA. mark.agulnik@uhn.on.ca
pubmed:publicationType
Journal Article, Clinical Trial, Comparative Study, Research Support, Non-U.S. Gov't