Head and Neck Cancer Clinical Trial
Official title:
Phase I-II Study on Treatment of Advanced Oropharynx Cancer in Elderly Population by Intensity Modulated Radiotherapy With Treatment Volume Reduction and Combination Chemotherapy
It is currently estimated that above 50% of new cancer cases are diagnosed in the elderly
population[1]. With the increased life expectancy in the industrialised countries, the
incidence of head and neck cancers has significantly increased in the last decade with rates
estimated between 24-40% in patients over 70 years old [2-4]. It is estimated that with the
improvement in quality of life and treatment modulation, the incidence will continue to rise
in the coming years. Because the current available prospective studies often exclude patients
above 65 or 70 years old, the data and guidelines on head and neck treatment for these
patients population remain limited.
Treatment of elderly patients with advanced stage III-IV oropharyngeal squamous carcinoma
with intensity modulated radiotherapy (IMRT) using RapidArc® or Helical Tomotherapy® at a
dose of 70 Gy in 33 fractions to the PTV (GTV) and 59.4 Gy in 33 fractions to the first
disease-free lymphatic relay bilaterally as well as a combination Cisplatin chemotherapy at a
reduced dose.
n/a
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