Quimioterapia Primária em Carcinoma Avançado de Cabeça e Pescoço

Authors

  • Juvenal Antunes de Oliveira Filho Oncologista Clinico. Centro de Oncologia Campinas. Campinas (SP), Brasil.
  • Fernando Medina da Cunha Oncologista Clinico. Centro de Oncologia Campinas. Campinas (SP), Brasil.
  • Werner Roedel Schlupp Radioterapeuta. Centro de Oncologia Campinas. Campinas (SP), Brasil.
  • Honório Chiminazzo Junior Radioterapeuta. Centro de Oncologia Campinas. Campinas (SP), Brasil.
  • Ludmilla Medina da Cunha Radioterapeuta. Centro de Oncologia Campinas. Campinas (SP), Brasil.

DOI:

https://doi.org/10.32635/2176-9745.RBC.1985v31n4.3359

Keywords:

Primary Chemotherapy, Head and Neck Cancer

Abstract

The results of a pilot study of primary chemotherapy for outpatient use of Cisplatin and Bleomycin in advanced head and neck cancer are discussed. After 2 cycles of chemotherapy patients were taken to radiotherapy. Of 46 patients initially treated with chemotherapy 34,7% had objective response with a median survival of 28 months, the median survival being 13 months for the non-responders (p = 0.0031). After radiotherapy the objective response was 63,6%, with a median survival of 28 months for responders and 8 months for non-responders (p = 0,027). It was concluded that epidermoid carcinomas of head and neck are sensitive to chemotherapy as primary treatment and prospective and randomized studies are needed.

Downloads

References

Chiuten, D Vogl, SE Kaplan. BH et al: Effective outpatient combination chemotherapy for advanced cancer of the head andneck. Surg. Gyn. 1980; 151:659.

Kish, J Decker, D Bergsman, et al: Preliminary reports of treatment of recurrent squamous carcinoma of head and neck with cis-platinum (CACP) + 5-FU infusion vs. CACP + 5-FU bolus. ASCO. 1983; C-636, 163.

Baker, SR: Preoperative cisplatin and bleomicin therapy in head and neck squamous carcinoma. Prognostic factors for tumor response. Arch. Otolaryngol. 1981; 107: 683. DOI: https://doi.org/10.1001/archotol.1981.00790470031008

Kish, J Drelichman, A Jacobs, J et al: Clinical trial of cisplatin and 5-FU infusion as innitial treatment for advanced squamous cell carcinoma of the head and neck. Cancer Trea. Rep. 1982; 66: 471.

Panettiere, FJ Lane, M Lehane, D: Effectiveness of new outpatient program utilizing CACP in the chemotherapy of advanced epidermoid head and neck tumors. ASCO 1968; C-416, 410.

Schwert, R Jacobs, JR Crissman, J et al: Improved survival in patients with advanced head and neck cancer achieving complete clinicai response to induction chemotherapy. ASCO 1983; C-619, 159.

Weaver, A Fleming, A Kish, J et al: Cis-platinum and 5-fluorouracil as induction therapy for advanced and neck cancer. Am. J. Surg. 1982; 144:445. DOI: https://doi.org/10.1016/0002-9610(82)90419-6

Oliveira Filho, JA Cunha, FM Chiminazzo Jr., H et al: Estudo piloto de quimioterapia ambulatorial com Bleomicina e Cisplatina em carcinoma avançado de cabeça e pescoço. Rev. Paul. Med. 1985; 103 (1): 32.

Ensley, JF Jacobs. JR Weaver, A et al; Correlation between response to Cisplatinum — Comination chemotherapy and subsequent radiotherapy in previously untreated patients with advanced squamous cell cancers of the head and neck. Cancer 1984; 54: 811. DOI: https://doi.org/10.1002/1097-0142(19840901)54:5<811::AID-CNCR2820540508>3.0.CO;2-E

Oliveira Filho, JA Cunha, FM: Uso ambulatorial de Cisplatina. Considerações preliminares. Rev. Paul. Med. 1983; 101: 199.

Miller, AB Hoogstraten, B Staquet, M et al: Reporting results of cancer treatment. Cancer 1981; 47: 207. DOI: https://doi.org/10.1002/1097-0142(19810101)47:1<207::AID-CNCR2820470134>3.0.CO;2-6

Published

2023-08-07

How to Cite

1.
Oliveira Filho JA de, Cunha FM da, Schlupp WR, Chiminazzo Junior H, Cunha LM da. Quimioterapia Primária em Carcinoma Avançado de Cabeça e Pescoço. Rev. Bras. Cancerol. [Internet]. 2023 Aug. 7 [cited 2025 Apr. 1];31(4):249-53. Available from: https://rbc.inca.gov.br/index.php/revista/article/view/3359

Issue

Section

ORIGINAL ARTICLE

Most read articles by the same author(s)