Abstract | PURPOSE: METHODS: We retrospectively reviewed 51 patients with stage III-IV HPV-related oropharyngeal squamous cell carcinoma who received one course of TPF with CDDP 60 mg/m2, DOC 60 mg/m2, and 5-FU 600 mg/m2. We recommended chemoradiotherapy for patients with complete or partial response (CR/PR), and surgery for those with stable or progressive disease (SD/PD). The endpoints were TPF-related adverse events and efficacy, chemoradiotherapy efficacy, and 2-year survival. RESULTS:
Neutropenia was the most common grade ≥ 3 adverse event (88%). No grade 5 adverse events occurred. TPF achieved CR in 4% of patients (2/51), PR in 73% (37/51), SD in 20% (10/51), and PD in 4% (2/51). Concurrent cetuximab and radiotherapy (bio- radiotherapy, BRT) were administered to 61% of patients (31/51), concurrent CDDP and radiotherapy (CDDP-RT) to 16% (8/51), RT alone to 2% (1/51), and surgery was performed for 22% (11/51). CR was achieved in 85% of the chemoradiotherapy group, and the rate tended to increase with TPF efficacy. CR was achieved in 84% (26/31) of patients receiving BRT, 88% (7/8) receiving CDDP-RT, and 100% (1/1) receiving RT. The 2-year survival rates were 92% overall, and 97% and 79% in the chemoradiotherapy and surgery groups, respectively. CONCLUSIONS: When facing difficulty in deciding between chemoradiotherapy and surgery, one course of TPF may be an effective option.
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Authors | Takahito Kondo, Kiyoaki Tsukahara, Isaku Okamoto, Hiroki Sato, Takuro Okada, Ryo Maruyama, Kosuke Hihara, Tatsuya Ito, Atsuo Takeda, Naiue Kikawada, Yusuke Aihara, Yasuo Ogawa |
Journal | European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
(Eur Arch Otorhinolaryngol)
Vol. 278
Issue 9
Pg. 3497-3506
(Sep 2021)
ISSN: 1434-4726 [Electronic] Germany |
PMID | 33386967
(Publication Type: Journal Article)
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Copyright | © 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature. |
Chemical References |
- Taxoids
- Cisplatin
- Fluorouracil
|
Topics |
- Antineoplastic Combined Chemotherapy Protocols
(therapeutic use)
- Chemoradiotherapy
- Cisplatin
- Fluorouracil
- Head and Neck Neoplasms
- Humans
- Induction Chemotherapy
- Papillomaviridae
- Retrospective Studies
- Squamous Cell Carcinoma of Head and Neck
(therapy)
- Taxoids
|