PD-0090: Altered fractionation radiotherapy for elderly patients with locally advanced head and neck cancer

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palliative hypofractionated radiotherapy in locally advanced head and neck cancer with fixed neck nodes

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Image-Guided Radiotherapy for Locally Advanced Head and Neck Cancer

Treatment of locally advanced head and neck cancer remains a challenge because of the head and neck complex anatomy and the tumor invasion to the adjacent organs and/or metastases to the cervical nodes. Postoperative irradiation or concurrent chemoradiation may lead to damage of radiosensitive structures such as the salivary glands, mandible, cochlea, larynx, and pharyngeal muscles. Xerostomia,...

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Altered fractionation for head and neck cancer.

A conventional course of radiation for squamous cell carcinoma in the United States is generally 70 Gy in 7 weeks, with a once-daily dose of 1.8 to 2 Gy. This schedule has a modest success rate in curing head and neck cancer. The past several decades have seen numerous investigations into altering this schedule to optimize the results of radiation. Two approaches, founded on radiobiologic princ...

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Altered Fractionation for Head and Neck Cancer

Delivery of therapeutic radiation in multiple sessions, or fractions, has been practiced since the discovery of radiation’s potential to cure malignancies. Initially, this was done out of practical necessity: Radiation was delivered at a low dose rate, and the treatment sessions had to be repeated to obtain the desired effect. Technologic improvements eventually allowed for treatments in one se...

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ژورنال

عنوان ژورنال: Radiotherapy and Oncology

سال: 2013

ISSN: 0167-8140

DOI: 10.1016/s0167-8140(15)32396-3