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Nancy Lee, MD - ASTRO

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• Randomized, N=240<br />

German Trial<br />

(Staar et al. IJROBP, 2001)<br />

• III/IV SCC unresectable bl oropharyngeal h l and d hhypopharyngeal h l<br />

carcinoma; 96% IV<br />

• 5FU(600)/Carbo(70) + concomitaant boost RT to 69.9 Gy vs RT<br />

alone<br />

Median F/U of 22.3 months<br />

• 1 yr LC 60% vs 40% ( (oropharyngeal h l ca) )<br />

• Greater Grade 3/4 mucositis 68% vs 52%; greater vomiting 8% vs<br />

1.6%<br />

• Late toxicity: 30% of the long-term survivors >/= 2 years remain<br />

dependent on a feeding tube<br />

• 51% vs 25% with swallowing problems and continuous use of a<br />

feeding tube in the RCT arm than RT arm

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