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Nagasaka, Misako; Zaki, Mark; Issa, Majd; Kim, Harold; Abrams, Judith; Sukari, Ammar
The Laryngoscope, October 2017, Letnik: 127, Številka: 10Journal Article
Objective Definitive concurrent chemoradiotherapy (CRT) is considered the standard of care for organ preservation and is the only potentially curative therapy for surgically unresectable patients with stage III to IVb locally advanced squamous cell carcinoma of the head and neck. In patients with high risks for adverse events utilizing cisplatin, carboplatin has been empirically substituted. The objective of this study was to estimate the locoregional control rate, progression‐free survival, overall survival, and adverse events in locally advanced squamous cell carcinoma of the head and neck patients treated with CRT utilizing carboplatin. Study Design A retrospective single‐arm analysis. Methods Data on consecutive patients who fit the eligibility criteria were collected. Eligible patients were treated with 70 Gy of radiation therapy and at least two cycles of carboplatin (area of curve AUC of 5 between January 2007 to December 2013. Results Fifty‐four patients were identified. Overall locoregional control rate was 50% (95% confidence interval CI 37%–63%). Median progression‐free and overall survival were 21 (CI 11–33) and 40 (CI 33–NA) months, respectively. One‐, 3‐, and 5‐year overall survival were 81% (CI 67%–89%), 59% (CI 41%–73%), and 42% (CI 22%–61%), respectively. Stage III/IVa patients (n = 45) had a median survival of 62 (CI 37–NA months) and 3 years of 71% (CI 53%–84%), whereas stage IVb (n = 9) had a median survival of 31 (CI 4–NA) months and none survived to 3 years. Conclusion Definitive CRT with carboplatin for locally advanced squamous cell carcinoma of the head and neck was well tolerated and demonstrated comparable results to CRT with cisplatin. Level of Evidence 4. Laryngoscope, 127:2260–2264, 2017
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Dostop do baze podatkov JCR je dovoljen samo uporabnikom iz Slovenije. Vaš trenutni IP-naslov ni na seznamu dovoljenih za dostop, zato je potrebna avtentikacija z ustreznim računom AAI.
Leto | Faktor vpliva | Izdaja | Kategorija | Razvrstitev | ||||
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JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
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Povezave do osebnih bibliografij avtorjev | Povezave do podatkov o raziskovalcih v sistemu SICRIS |
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Vir: Osebne bibliografije
in: SICRIS
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