Affiliation:
1. The Head and Neck Unit, Royal Marsden Hospital, London, UK
Abstract
Abstract
The results of debulking surgery and re-irradiation with radioactive implants (brachytherapy) are reported for 39 patients with inoperable metastatic neck nodes from primary head and neck cancers. For 13 patients conventional salvage by partial debulking surgery and brachytherapy proved effective, with 68 per cent control at 1 year, but six patients suffered severe radiation fibrosis, necrosis and contractures. Some 26 patients were treated by combined tumour debulking, skin resurfacing and brachytherapy implant. Initial tumour control and freedom from serious toxicity was achieved in 24 patients. Local control was achieved in 63 per cent of patients at 1 year, with a serious morbidity rate of 12 per cent.
Funder
Head and Neck Unit Research Fund, Royal Marsden Hospital, London, UK
Publisher
Oxford University Press (OUP)
Cited by
38 articles.
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