| Title |
Reirradiation for patients with recurrence head and neck squamous cell carcinoma: A single-institution comparative study / |
| Authors |
Rudžianskas, Viktoras ; Inčiūra, Arturas ; Vaitkus, Saulius ; Padervinskis, Evaldas ; Rudžianskienė, Milda ; Kupčinskaitė-Noreikienė, Rita ; Saltonaitė, Lina ; Noreika, Alius ; Statnickaitė, Akvilė ; Juozaitytė, Elona |
| DOI |
10.1016/j.medici.2014.06.006 |
| Full Text |
|
| Is Part of |
Medicina.. Wrocław : Elsevier. 2014, vol. 50, no. 2, p. 92-99.. ISSN 1010-660X |
| Keywords [eng] |
Head and neck neoplasms ; Carcinoma, squamous cell ; Brachytherapy ; Radiation dosage |
| Abstract [eng] |
Background and objective In the last decade, the number of publications that report on the use of external beam radiotherapy and high-dose-rate brachytherapy (HDR-BRT) in the treatment of recurrent head and neck cancer has increased, but no studies compare external beam radiotherapy and HDR-BRT. The aim of this study was to evaluate and to compare the efficacy and toxicity of the three-dimensional conformal radiotherapy (3D-CRT) and HDR-BRT in the treatment of recurrent head and neck cancer. Material and methods A total of 64 patients with head and neck cancer recurrence were randomly assigned at a 1:1 ratio to receive either 3D-CRT (50 Gy/25 fractions) in the control group or HDR-BRT (30 Gy/12 fraction) in the experimental group. Results The overall survival rate of patients treated with HDR-BRT at 1 and 2-years was 74% and 67%, respectively, compare to 3D-CRT group – 51% and 32%, respectively (P = 0.002). Local control at 1- and 2-years in patients who received HDR-BRT was 77% and 63% compare with 47% and 25%, respectively, for the patients who received the 3D-CRT (P < 0.001). Most patients developed mild to moderate acute mucositis and dermatitis. In the 3D-CRT group, severe late toxicity was determined in 11 patients (35.5%), and in the HDR-BRT group, in 1 patient (3.1%) (P = 0.001). There was no grade 5 toxicity. Conclusions Following our results, we concluded that HDR-BRT is a more effective and safer treatment approach for head and neck cancer recurrences than 3D-CRT. |
| Published |
Wrocław : Elsevier |
| Type |
Journal article |
| Language |
English |
| Publication date |
2014 |
