New aspects of induction chemotherapy for head and neck cancer: POSTASCO 2011.

TY - JOUR

T1 - New aspects of induction chemotherapy for head and neck cancer: POSTASCO 2011.

AU - Mumme, Angelina

AU - Laban, Simon

AU - Knecht, Rainald

PY - 2012

Y1 - 2012

N2 - Treatment options of patients with advanced head and neck cancer developed in the last years. Surgical approaches with or without radiotherapy used to be the standard therapy for a long time. Calls for organ preservation, poor overall survival and unsatisfactory quality of life made changes in this therapy regime necessary. Systemical approaches were evaluated, first concepts of platinum-based chemotherapy paired with 5-fluorouracil (PF) made up the basis of induction chemotherapy (ICT). Hypothesized advantage of this regime was improvement in local and distant tumor responsiveness with an acceptable toxicity profile. Further investigations proved the addition of docetaxel (TPF) superior to PF, which presents the gold standard of current induction chemotherapy regimes. Long-term results underlining well-known aspects of this regime as well as new approaches of induction chemotherapy were published at ASCO 2011, including the addition of bioimmunotherapy to radiotherapy, adding nanoparticle-bound albumin to chemotherapy and investigations in toxicity reduction. Further investigations are still made not only to increase survival outcomes and local control but also to improve quality of life by reducing acute and late toxicities.

AB - Treatment options of patients with advanced head and neck cancer developed in the last years. Surgical approaches with or without radiotherapy used to be the standard therapy for a long time. Calls for organ preservation, poor overall survival and unsatisfactory quality of life made changes in this therapy regime necessary. Systemical approaches were evaluated, first concepts of platinum-based chemotherapy paired with 5-fluorouracil (PF) made up the basis of induction chemotherapy (ICT). Hypothesized advantage of this regime was improvement in local and distant tumor responsiveness with an acceptable toxicity profile. Further investigations proved the addition of docetaxel (TPF) superior to PF, which presents the gold standard of current induction chemotherapy regimes. Long-term results underlining well-known aspects of this regime as well as new approaches of induction chemotherapy were published at ASCO 2011, including the addition of bioimmunotherapy to radiotherapy, adding nanoparticle-bound albumin to chemotherapy and investigations in toxicity reduction. Further investigations are still made not only to increase survival outcomes and local control but also to improve quality of life by reducing acute and late toxicities.

KW - Humans

KW - Antineoplastic Combined Chemotherapy Protocols/therapeutic use

KW - Antineoplastic Agents/administration & dosage

KW - Cisplatin/administration & dosage

KW - Taxoids/administration & dosage

KW - Fluorouracil/administration & dosage

KW - Head and Neck Neoplasms/drug therapy

KW - Induction Chemotherapy/methods/trends

KW - Humans

KW - Antineoplastic Combined Chemotherapy Protocols/therapeutic use

KW - Antineoplastic Agents/administration & dosage

KW - Cisplatin/administration & dosage

KW - Taxoids/administration & dosage

KW - Fluorouracil/administration & dosage

KW - Head and Neck Neoplasms/drug therapy

KW - Induction Chemotherapy/methods/trends

M3 - SCORING: Journal article

VL - 269

SP - 2303

EP - 2308

JO - EUR ARCH OTO-RHINO-L

JF - EUR ARCH OTO-RHINO-L

SN - 0937-4477

IS - 11

M1 - 11

ER -