Author/Editor | Šmid, Lojze; Budihna, Marjan; Zakotnik, Branko; Strojan, Primož; Šoba, Erika; Fajdiga, Igor; Žargi, Miha; Župevc, Avgust; Lešničar, Hotimir | |
Title | Vloga konkomitantne radiokemoterapije pri pooperacijskem zdravljenju napredovalega karcinoma glave in vratu | |
Translated title | Postoperative concomitant radiochemotherapy for advanced head and neck cancer | |
Type | članek | |
Source | Med Razgl | |
Vol. and No. | Letnik 43, št. Suppl 3 | |
Publication year | 2004 | |
Volume | str. 113-7 | |
Language | slo | |
Abstract | 114 eligible patients operated for advanced head and neck carcinoma were randomly assigned to receive postoperatively either radiotherapy alone (group A) or radiotherapy combined with simultaneous Mitomycin C and Bleomycin (group B). After four years, locoregional control (86%) was better in patients from the radiochemotherapy group than in those from the radiotherapy group (57%; p=0.04), as was overall survival (71% and 43%, respectively; p=0.04). Patients benefiting from chemotherapy most were those with high risk factors. | |
Summary | 114 bolnikov, operiranih zaradi napredovalega karcinoma glave in vratu, je bilo randomiziranih v skupino, kjer so bili po operaciji samo obsevani (skupina A), ali v skupino, kjer so poleg obsevanja sočasno prejemali tudi Mitomicin C in Bleomicin. Štiri leta po zaključku zdravljenja je bila v skupini bolnikov, ki so po operaciji prejemali kombinirano terapijo, lokoregionalna kontrola (86%) statistično značilno boljša kot pri bolnikih, ki so bili po operaciji samo obsevani (57%) (p=0,04). Tudi celotno preživetje je bilo v radiokemoterapevtski skupini (71%) statistično značilno boljše kot v primerjalni skupini (43 %) (p=0,04). Pooperacijsko zdravljenje s sočasnim obsevanjem in kemoterapijo je pomagalo bolnikom z neugodnimi napovednimi dejavniki. | |
Descriptors | HEAD AND NECK NEOPLASMS SURVIVAL ANALYSIS |