Concurrent Chemoradiotherapy With Weekly Low-Dose Cisplatin for Japanese Patients With Head and Neck Squamous Cell Carcinoma.

Head and neck cancer chemoradiotherapies cisplatin concomitant

Journal

Clinical Medicine Insights. Oncology
ISSN: 1179-5549
Titre abrégé: Clin Med Insights Oncol
Pays: United States
ID NLM: 101525771

Informations de publication

Date de publication:
2021
Historique:
received: 12 04 2021
accepted: 02 09 2021
entrez: 11 10 2021
pubmed: 12 10 2021
medline: 12 10 2021
Statut: epublish

Résumé

Concurrent chemoradiotherapy (CCRT) with tri-weekly high-dose cisplatin (HDC) is considered the standard regimen. However, due to significant toxicity, various weekly low-dose schedules have been increasingly used. We investigated the tolerability and survival of patients with head and neck squamous cell carcinoma (HNSCC) who underwent CCRT with low-dose weekly cisplatin (LDC) for Japanese population. A retrospective review was conducted among patients with HNSCC who were treated with CCRT/LDC in our institute. Ninety-five patients who met the criteria were enrolled in this study. We evaluated the cycle and cumulative cisplatin dose, completion rate of radiotherapy, adverse events, and survival outcome. The mean cycles and cumulative cisplatin dose were 4.7 cycles and 187 mg/m Concurrent chemoradiotherapy/LDC can be safely administered with acceptable toxicity and survival outcome even if the patients with higher age, lower eGFR, and so on.

Sections du résumé

BACKGROUND BACKGROUND
Concurrent chemoradiotherapy (CCRT) with tri-weekly high-dose cisplatin (HDC) is considered the standard regimen. However, due to significant toxicity, various weekly low-dose schedules have been increasingly used. We investigated the tolerability and survival of patients with head and neck squamous cell carcinoma (HNSCC) who underwent CCRT with low-dose weekly cisplatin (LDC) for Japanese population.
METHODS METHODS
A retrospective review was conducted among patients with HNSCC who were treated with CCRT/LDC in our institute. Ninety-five patients who met the criteria were enrolled in this study. We evaluated the cycle and cumulative cisplatin dose, completion rate of radiotherapy, adverse events, and survival outcome.
RESULTS RESULTS
The mean cycles and cumulative cisplatin dose were 4.7 cycles and 187 mg/m
CONCLUSIONS CONCLUSIONS
Concurrent chemoradiotherapy/LDC can be safely administered with acceptable toxicity and survival outcome even if the patients with higher age, lower eGFR, and so on.

Identifiants

pubmed: 34629923
doi: 10.1177/11795549211048417
pii: 10.1177_11795549211048417
pmc: PMC8493312
doi:

Types de publication

Journal Article

Langues

eng

Pagination

11795549211048417

Informations de copyright

© The Author(s) 2021.

Déclaration de conflit d'intérêts

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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Auteurs

Shogo Shinohara (S)

Department of Otolaryngology-Head and Neck Surgery, Kobe City Medical Center General Hospital, Kobe, Japan.

Shinji Takebayashi (S)

Department of Otolaryngology-Head and Neck Surgery, Kobe City Medical Center General Hospital, Kobe, Japan.

Kiyomi Hamaguchi (K)

Department of Otolaryngology-Head and Neck Surgery, Kobe City Medical Center General Hospital, Kobe, Japan.

Tetsuhiko Michida (T)

Department of Otolaryngology-Head and Neck Surgery, Kobe City Medical Center General Hospital, Kobe, Japan.

Yota Tobe (Y)

Department of Otolaryngology-Head and Neck Surgery, Kobe City Medical Center General Hospital, Kobe, Japan.

Tadashi Ikenaga (T)

Department of Otolaryngology-Head and Neck Surgery, Kobe City Medical Center General Hospital, Kobe, Japan.

Mami Yasumoto (M)

Department of Otolaryngology-Head and Neck Surgery, Kobe City Medical Center General Hospital, Kobe, Japan.

Ayami Hamamoto (A)

Department of Otolaryngology-Head and Neck Surgery, Kobe City Medical Center General Hospital, Kobe, Japan.

Toshiyuki Imagumbai (T)

Department of Radiation Oncology, Kobe City Medical Center General Hospital, Kobe, Japan.

Takamasa Mitsuyoshi (T)

Department of Radiation Oncology, Kobe City Medical Center General Hospital, Kobe, Japan.

Ryo Ashida (R)

Department of Radiation Oncology, Kobe City Medical Center General Hospital, Kobe, Japan.

Takahiro Iwai (T)

Department of Radiation Oncology, Kobe City Medical Center General Hospital, Kobe, Japan.

Shun Okabayashi (S)

Department of Radiation Oncology, Kobe City Medical Center General Hospital, Kobe, Japan.

Classifications MeSH