Efficacy and Safety of Induction Chemotherapy and/or External Beam Radiotherapy Followed by Brachytherapy in Patients With Tongue Cancer.

S-1 Tongue cancer external beam radiotherapy induction therapy local control lymph node metastasis-free survival

Journal

Anticancer research
ISSN: 1791-7530
Titre abrégé: Anticancer Res
Pays: Greece
ID NLM: 8102988

Informations de publication

Date de publication:
Dec 2021
Historique:
received: 08 09 2021
revised: 26 09 2021
accepted: 27 09 2021
entrez: 1 12 2021
pubmed: 2 12 2021
medline: 16 12 2021
Statut: ppublish

Résumé

To evaluate the outcomes of induction chemotherapy and/or external beam radiotherapy (EBRT) followed by brachytherapy (BT) in patients with tongue cancer who had a waiting period for BT or a large tumor that was not suitable for BT. As an induction therapy, chemotherapy with tegafur/gimeracil/oteracil (S-1), EBRT or both S-1 chemotherapy and EBRT was prescribed. BT was performed using Au-198 grains or Ir-192 pins. Local control (LC), lymph node metastasis-free survival (LNMFS), overall survival (OS), and complication rates were calculated. Forty-nine patients were enrolled in this study. The 3-year LC, LNMFS, and OS rates for cT1-2 patients were 84%, 45%, and 69%, respectively. The 3-year LC, LNMFS, and OS rates for cT3 patients were 77%, 58%, and 79%, respectively. The incidence of Grade 3 or 4 complications was 6%. Induction therapy contributed to the efficacy of the subsequent BT in LC rate.

Sections du résumé

BACKGROUND/AIM OBJECTIVE
To evaluate the outcomes of induction chemotherapy and/or external beam radiotherapy (EBRT) followed by brachytherapy (BT) in patients with tongue cancer who had a waiting period for BT or a large tumor that was not suitable for BT.
PATIENTS AND METHODS METHODS
As an induction therapy, chemotherapy with tegafur/gimeracil/oteracil (S-1), EBRT or both S-1 chemotherapy and EBRT was prescribed. BT was performed using Au-198 grains or Ir-192 pins. Local control (LC), lymph node metastasis-free survival (LNMFS), overall survival (OS), and complication rates were calculated.
RESULTS RESULTS
Forty-nine patients were enrolled in this study. The 3-year LC, LNMFS, and OS rates for cT1-2 patients were 84%, 45%, and 69%, respectively. The 3-year LC, LNMFS, and OS rates for cT3 patients were 77%, 58%, and 79%, respectively. The incidence of Grade 3 or 4 complications was 6%.
CONCLUSION CONCLUSIONS
Induction therapy contributed to the efficacy of the subsequent BT in LC rate.

Identifiants

pubmed: 34848481
pii: 41/12/6259
doi: 10.21873/anticanres.15446
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

6259-6266

Informations de copyright

Copyright © 2021 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

Auteurs

Ryo-Ichi Yoshimura (RI)

Department of Radiation Therapeutics and Oncology, Tokyo Medical and Dental University, Tokyo, Japan; ysmrmrad@tmd.ac.jp.

Kazuma Toda (K)

Department of Radiation Therapeutics and Oncology, Tokyo Medical and Dental University, Tokyo, Japan.

Hiroshi Watanabe (H)

Department of Oral Radiology, Tokyo Medical and Dental University, Tokyo, Japan.

Atsushi Kaida (A)

Department of Oral Radiation Oncology, Tokyo Medical and Dental University, Tokyo, Japan.

Hiroyuki Harada (H)

Department of Oral and Maxillofacial Surgery, Tokyo Medical and Dental University, Tokyo, Japan.

Takahiro Asakage (T)

Department of Head and Neck Surgery, Tokyo Medical and Dental University, Tokyo, Japan.

Masahiko Miura (M)

Department of Oral Radiation Oncology, Tokyo Medical and Dental University, Tokyo, Japan.

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