High-dose-rate interstitial brachytherapy for mobile tongue cancer: preliminary results of a dose reduction trial.

Abstract

PURPOSE:

To compare the outcome of our facility with another about the shortened schedule (60 Gy in 10 fractions to 54 Gy in 9 fractions) of high-dose-rate interstitial brachytherapy (HDR ISBT) for mobile tongue cancer.

MATERIAL AND METHODS:

Eighteen patients were treated with HDR ISBT as a monotherapy in dose reduction schedule with some unique technique to determine the border of tumor accuracy (lugol's staining and metal marker), and to minimize adverse effect (lead-lined silicon block) at our facility.

RESULTS:

The 2-year local and regional control rates and cause-specific survival rate were 82%, 80%, and 83% and moderate to severe late complications occurred in five patients (28%), which were almost the same treatment results achieved by another facility.

CONCLUSIONS:

We recommend 54 Gy in 9 fractions over 7 days as a feasible treatment to reduce patient discomfort in mobile tongue cancer patients.

• Authors: Hironori Akiyama, Ken Yoshida, Hideya Yamazaki, Tadashi Takenaka, Tadayuki Kotsuma, Koji Masui, Yasuo Yoshioka, Takumi Arika, Kimishige Shimizutani, Eiichi Tanaka
• Journal: Journal of contemporary brachytherapy (J Contemp Brachytherapy) Vol. 6 Issue 1 Pg. 10-4 (Mar 2014) ISSN: 1689-832X [Print] Poland
• PMID: 24790616 (Publication Type: Journal Article)