Nancy Lee, MD - ASTRO

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R A N D O M GETTEC Trial - T3 Larynx Ca. (J.M. Richard et al, 1998) Surgery Radiotherapy > 80% RT O IInduction d ti Chemotherapy I (3 Cycles) < 80% Surgery RT Z E Induction Chemotherapy: Cisplatin and 5-FU
GETTEC Trial (J (J.M. M Richard Ri h d et t al, l 1998) S + RT CT+ RT+ S (N = 32) ( N = 36) 55-yr. yr D-F D FSurvival Survival 62*% 32*% P= .02 02 5-yr. Survival 68*% 43*% P=.006 Site of 1st Recurrence: Local Local-Regional Regional 12 12.5% 5% 25% Distant Mets. 3% 25% 2nd Primary 22% 11% * Estimated from survival curves
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Head and Neck II: Oropharynx, Laryn
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OROPHARYNX-Sites Base of tongue Sof
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INCIDENCE OF LYMPH NODE METASTASES
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CA. OF THE OROPHARYNX INCIDENCE OF
Page 10 and 11:
Oropharyngeal CA: Treatment Volume
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RTOG 73-03 Oral Cavity And Orophary
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Surgery and Adjuvant RT vs. CCRT in
Page 16 and 17:
Stage III/IV Head and Neck CA: Rand
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CA. OF THE TONSILLAR REGION LOCAL C
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CARCINOMA OF THE TONSIL LOCAL CONTR
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BASE OF TONGUE IMPLANTS Patient Sel
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BASE OF TONGUE IMPLANTS Dose to the
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Trans-Tasman Radiation Oncology PPo
Page 28 and 29:
RTOG 90-03 PHASE III STUDY OF ALTER
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CB: 33% Late Grade 3-4 Toxicity
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• N=77 • IV=83% RTOG 99-14 Ang
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Gortec French Study DDenis i et t a
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French Trial: Oropharyngeal CA (D (
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There is also site-specific orophar
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Why shouldn’t we just treat all a
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Chemoradiotherapy: Late FT Dependen
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Chemoradiotherapy: Late FT Dependen
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An example of patient with late eff
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Historical RT Dose Escalation • I
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IMRT in the Treatment of Oropharyng
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Patients Population From 9/1998 to
Page 56 and 57: Local Control 3-year 94.4% 5-year 9
Page 58 and 59: Local Failure versus T-stage • T1
Page 60 and 61: Toxicities : Acute • Mucositis gr
Page 62 and 63: IMRT for oropharynx: available data
Page 64: Mean Doses Right Parotid 19.80 Gy R
Page 70 and 71: % >G2 LENT SOM Subjective Xerostomi
Page 72 and 73: Conclusions • RT preferred f d ov
Page 74 and 75: Conclusions • Careful selection o
Page 76 and 77: T1 T1-2NO 2NO Gl Glottic tti Cancer
Page 78 and 79: T1 Carcinoma of the Glottis Local C
Page 80 and 81: LOCAL CONTROL OF T1 LESIONS Locall
Page 82 and 83: T2 Carcinoma of the Glottis Local o
Page 84 and 85: LOCAL CONTROL OF T2 LESIONS Control
Page 86 and 87: LOCAL CONTROL FOR T2 LESIONS Local
Page 88 and 89: Randomized trial on RT fraction siz
Page 90 and 91: Meta-analysis of Impaired VC Mobili
Page 92 and 93: RTOG 91-11 Phase III Trial to Prese
Page 94 and 95: T4 T4a: Thyroid Th id Cartilage C i
Page 96 and 97: Induction Chemotherapy Followed By
Page 98 and 99: Stage T3 Carcinoma of the Glottis R
Page 100 and 101: Carcinoma of the Supraglottis % LLo
Page 102 and 103: VA LARYNGEAL CA. STUDY Surgery Radi
Page 104 and 105: VA LARYNX PRESERVATON STUDY Surgery
Page 108 and 109: Does Vocal Cord Fixation Preclude N
Page 110 and 111: RTOG 91-11 Ph Phase III TTrial i l
Page 112 and 113: RTOG 91-11 Induction CCRT RT 2 year
Page 114 and 115: Squamous Cell Head and Neck Cancer
Page 116 and 117: Functional Organ Preservation with
Page 118 and 119: Wh What t is i th the bbest t RT FF
Page 120 and 121: Stage III or IV of f sq cell ll ca
Page 122 and 123: HHypopharynx h
Page 124 and 125: EORTC 24891 LARYNX PRESERVATION FOR
Page 126: CConcurrent Ch Chemoradiotherapy di
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Nancy Lee, MD - ASTRO

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