Chemoradiotherapy as definitive treatment for elderly patients with head and neck cancer

  • Background: With the aging population and a rising incidence of squamous cell carcinoma of the head and neck (SCCHN), there is an emerging need for developing strategies to treat elderly patients. Patients and Methods: We retrospectively analyzed 158 patients treated with definitive, concurrent chemoradiotherapy (CRT) for SCCHN. Clinicopathological characteristics, acute toxicities, and oncological outcomes were compared between patients younger and older than (or of age equal to) 65, 70, and 75 years. Results: RT dose, chemotherapy regimen, and total chemotherapy dose were balanced between the groups. After a median follow-up of 29 months, overall survival (OS), progression-free survival (PFS), local control rate, and distant metastasis-free survival stratified by age of ≥65, ≥70, or ≥75 years revealed no differences. The rate of acute toxicities was also not higher for older patients. Worse ECOG performance score (ECOG 2-3) was associated with impaired OS () and PFS (). Conclusion: Definitive treatment with CRT for SCCHN is feasible and effective; even in advanced age treatment decisions should be made according to general condition and comorbidity, rather than calendar age alone.

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Author:Jens Müller-von der GrünORCiDGND, Daniel MartinORCiD, Timo StöverGND, Shahram GhanaatiORCiDGND, Claus RödelORCiDGND, Panagiotis BalermpasORCiDGND
Pubmed Id:
Parent Title (English):BioMed research international
Place of publication:New York [u. a.]
Contributor(s):Nam Nguyen
Document Type:Article
Year of Completion:2018
Date of first Publication:2018/01/17
Publishing Institution:Universitätsbibliothek Johann Christian Senckenberg
Release Date:2018/09/18
Issue:Art. 3508795
Page Number:10
First Page:1
Last Page:9
Copyright © 2018 Jens Müller von der Grün et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Institutes:Medizin / Medizin
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Licence (German):License LogoCreative Commons - Namensnennung 4.0