HYPERFRACTIONATED RADIATION IN COMBINATION WITH LOCAL HYPERTHERMIA INTHE TREATMENT OF ADVANCED SQUAMOUS-CELL CARCINOMA OF THE HEAD AND NECK - A PHASE I-II STUDY
M. Amichetti et al., HYPERFRACTIONATED RADIATION IN COMBINATION WITH LOCAL HYPERTHERMIA INTHE TREATMENT OF ADVANCED SQUAMOUS-CELL CARCINOMA OF THE HEAD AND NECK - A PHASE I-II STUDY, Radiotherapy and oncology, 45(2), 1997, pp. 155-158
Twenty-seven patients with cervical metastases from squamous cell head
and neck tumours were treated with hyperfractionated XRT (total dose
69.60-76.80 Gy, 1.2 Gy b.i.d. five times a week) combined with a total
of two to six sessions of superficial external HT. Acute local toxici
ty was mild; as major acute side effects, only one ulceration was reco
rded. No severe late side effects were observed. Late toxicity was sim
ilar to that observed in our previous studies with the combination of
heat and radiation. Nodal complete response was observed in 77% of pat
ients, partial response was observed in 15% of patients and no change
was observed in 8% of patients. Five-year actuarial nodal control was
64.5 +/- 19% and 5-year actuarial survival was 24 +/- 10%. The treatme
nt of nodal metastases from head and neck tumours with the combination
of HT and hyperfractionated XRT is feasible with an acceptable acute
and late toxicity profile. (C) 1997 Elsevier Science ireland Ltd.