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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
|
pubmed:dateCreated |
1993-11-5
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pubmed:abstractText |
A phase II clinical trial was initiated in 1987 to evaluate a new induction regimen of cis-platinum, 5-fluorouracil, and leucovorin (PFL) for patients with stages III-IV squamous cell carcinoma of the head and neck. Ninety patients were treated and followed for a median duration of 18 months. The median age was 55 and 87% of the patients had stage IV disease. The rates of complete and overall clinical response following three cycles of PFL were 57% and 80%, respectively; the rate of complete response at the primary site was 72%. Eighty-four percent of patients were treated to the primary site with radiation alone (median dose 68 Gy in daily 1.8-Gy fractions) irrespective of the location of the primary site or initial T-stage. The acute tolerance to full-course radiation following PFL was acceptable. The actuarial rate of primary site control for patients treated with radiation was 67% at 36 months. An important prognostic indicator for primary site control was a complete clinical response to induction PFL. For patients who achieved a complete response, radiation or surgery followed by radiation controlled primary site disease equally well at 70%. Patients with a partial response did less well. For these patients, surgery and radiation appeared slightly better than radiation alone.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
1043-3074
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
15
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pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
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pubmed:pagination |
413-8
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pubmed:dateRevised |
2006-10-5
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pubmed:meshHeading |
pubmed-meshheading:8407313-Actuarial Analysis,
pubmed-meshheading:8407313-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:8407313-Carcinoma, Squamous Cell,
pubmed-meshheading:8407313-Cisplatin,
pubmed-meshheading:8407313-Combined Modality Therapy,
pubmed-meshheading:8407313-Fluorouracil,
pubmed-meshheading:8407313-Follow-Up Studies,
pubmed-meshheading:8407313-Head and Neck Neoplasms,
pubmed-meshheading:8407313-Humans,
pubmed-meshheading:8407313-Leucovorin,
pubmed-meshheading:8407313-Lymph Node Excision,
pubmed-meshheading:8407313-Middle Aged,
pubmed-meshheading:8407313-Neoplasm Staging,
pubmed-meshheading:8407313-Radiotherapy Dosage,
pubmed-meshheading:8407313-Remission Induction,
pubmed-meshheading:8407313-Survival Rate,
pubmed-meshheading:8407313-Treatment Outcome
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pubmed:articleTitle |
Primary site management following induction chemotherapy with cis-platinum, 5-fluorouracil, and leucovorin.
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pubmed:affiliation |
Head and Neck Tumor Service, Dana Farber Cancer Institute, Boston, Massachusetts.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Clinical Trial, Phase II
|