A prospective trial of treating patients with nasopharyngeal carcinoma in late stage by combined hyperfractionated radiotherapy and concurrent chemotherapy

Document Type

Article

Publication Date

2003

Abstract

Objective: To evaluate the therapeutic effect and reactions of hyperfractionated radiotherapy combined with concurrent chemotherapy for nasopharyngeal carcinoma (NPC) in stages III and IV. Methods: Sixty previously untreated NPC patients were randomly assigned to hyperfractionated radiotherapy plus chemotherapy (experimental group) and hyperfractionated radiotherapy (control group). Irradiation dose to the NPC foci were: experimental group 1.2 Gy/f, 2f/d, to a total dose of 75.5 Gy; for neck nodes: 79 Gy to patients with positive nodes. PFL was used in chemotherapy regimen: PDD: 60 mg·m -2, d1; 5-FU 750 mg·m-2, d2~4, Lv 100 mg·m-2, d2~4, q4w. Results: The experimental group had a higher complete regression rate of tumor and a higher 1, 3 and 5 year survival rate than the control group (P < 0.05), but it had more serious irradiation reactions than the control group (P < 0.05). Conclusion: Hyperfractionated radiotherapy plus chemotherapy has better therapeutic effects with tolerable reactions. Therefore, combination of hyperfractionated radiotherapy with chemotherapy regimen for NPC patients seems justified.

Publication Title

Journal of Xi'an Jiaotong University (Medical Sciences)

Volume

24

Issue

4

First Page

387

Last Page

389

Comments

This article was published in Journal of Xi'an Jiaotong University (Medical Sciences), Volume 24, Issue 4, Pages 387-389.

The published version is available at http://www.jdyxb.cn/en/oa/dlistnum.aspx .

Copyright © 2003 Xi'an Jiaotong University.

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