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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1992-3-12
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pubmed:abstractText |
Recurrent cancer in the head and neck is not an uncommon clinical problem. The average cure rate of these patients has been reported to vary between 30 and 40% and most failures are due to locoregional relapses. After a previous full course of radiation, surgery is the salvage modality of choice; however, if surgery was not feasible for whatever reason, reirradiation has been offered to some patients. To establish the role of reirradiation in head and neck cancer, we analyzed a 13-year experience with patients reirradiated in the DDHCC. The reirradiation was performed between 1970 and 1980 by means of external beam radiation therapy (ERT series; n = 55) and between 1985 and 1988 by external radiation combined with interstitial radiation therapy (IRT +/- ERT series; n = 18). A minimum follow-up of 3 years was allowed for. An improvement in local control was observed (50% vs. 29%) for the IRT +/- ERT series and the ERT series, respectively. The improvement in local control was not reflected in a survival benefit; i.e. an actuarial overall survival of 20% at 5 years was observed in both series. No treatment-related deaths occurred. However, for the patients that were controlled at the reirradiated site, 28% (4/16 of the ERT series and 3/9 of the IRT +/- ERT series) did experience severe side effects.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
0167-8140
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
23
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
6-15
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pubmed:dateRevised |
2005-11-16
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pubmed:meshHeading |
pubmed-meshheading:1736334-Brachytherapy,
pubmed-meshheading:1736334-Dose-Response Relationship, Radiation,
pubmed-meshheading:1736334-Head and Neck Neoplasms,
pubmed-meshheading:1736334-Humans,
pubmed-meshheading:1736334-Neck Dissection,
pubmed-meshheading:1736334-Neoplasm Recurrence, Local,
pubmed-meshheading:1736334-Radiation Injuries,
pubmed-meshheading:1736334-Radiotherapy Dosage
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pubmed:year |
1992
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pubmed:articleTitle |
Reirradiation of recurrent head and neck cancers: external and/or interstitial radiation therapy.
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pubmed:affiliation |
Dr. Daniel den Hoed Cancer Center, Department of Radiation Oncology, Groene Hilledijk, Rotterdam, The Netherlands.
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pubmed:publicationType |
Journal Article,
Review
|