Concurrent image-guided intensity modulated radiotherapy and chemotherapy following neoadjuvant chemotherapy for locally advanced nasopharyngeal carcinoma
2011

Using Helical Tomotherapy for Nasopharyngeal Carcinoma Treatment

Sample size: 28 publication Evidence: moderate

Author Information

Author(s): Shueng Pei-Wei, Shen Bing-Jie, Wu Le-Jung, Liao Li-Jen, Hsiao Chi-Huang, Lin Yu-Chin, Cheng Po-Wen, Lo Wu-Chia, Jen Yee-Min, Hsieh Chen-Hsi

Primary Institution: Far Eastern Memorial Hospital, Taipei, Taiwan

Hypothesis

To evaluate the experience of induction chemotherapy followed by concurrent chemoradiation with helical tomotherapy for nasopharyngeal carcinoma.

Conclusion

Helical tomotherapy for locoregionally advanced nasopharyngeal carcinoma is feasible and effective, showing high compliance and locoregional control.

Supporting Evidence

  • The response rates for primary and nodal disease after induction chemotherapy were 96.4% and 80.8%, respectively.
  • The estimated 3-year overall survival was 83.5%.
  • Acute grade 3, 4 toxicities for xerostomia and dermatitis were only 3.6% and 10.7%, respectively.

Takeaway

Doctors used a special type of radiation therapy called helical tomotherapy to treat patients with a throat cancer called nasopharyngeal carcinoma, and it worked really well.

Methodology

28 patients with nonmetastatic nasopharyngeal carcinoma received induction chemotherapy followed by concurrent chemoradiation with helical tomotherapy.

Potential Biases

Inherent biases typical of retrospective studies.

Limitations

The study was retrospective, had a small sample size, and lacked in-house comparable results.

Participant Demographics

22 men and 6 women with a median age of 47.5 years; most had WHO type III pathology.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1748-717X-6-95

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