Randomized trial of neoadjuvant chemotherapy in oropharyngeal carcinoma. French Groupe d'Etude des Tumeurs de la Tête et du Cou (GETTEC).

Randomized trial of neoadjuvant chemotherapy in oropharyngeal carcinoma. French Groupe d'Etude des Tumeurs de la Tête et du Cou (GETTEC).
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DOI:
10.1054/bjoc.2000.1512
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发表时间:
2000-12
影响因子:
8.8
通讯作者:
French Groupe d'Etude des Tumeurs de la Tête et du Cou (GETTEC)
French Groupe d'Etude des Tumeurs de la Tête et du Cou (GETTEC)
中科院分区:
医学1区
文献类型:
--
作者:
Domenge C;Hill C;Lefebvre JL;De Raucourt D;Rhein B;Wibault P;Marandas P;Coche-Dequeant B;Stromboni-Luboinski M;Sancho-Garnier H;Luboinski B;French Groupe d'Etude des Tumeurs de la Tête et du Cou (GETTEC)

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本研究的目的是评估新辅助化疗对口咽癌患者生存的影响。认为根治性放疗或手术可行的口咽鳞状细胞癌患者进入一项多中心随机试验,比较新辅助化疗后局部区域治疗与相同的局部区域治疗(不含化疗)。局部治疗包括手术加放疗或单纯放疗。每21天给予3个周期的化疗,包括第1天顺铂(100 mg/m2),随后24小时静脉输注氟尿嘧啶(1000 mg/m2/天),持续5天。2-3化疗结束后6周行局部治疗。该试验由Tête Et du Cou Tumeurs研究小组(GETTEC)进行。在1986年至1992年期间,共有318名患者参加了这项研究。新辅助化疗组的总生存率明显优于对照组(P = 0.03),中位生存期为5.1年,而未化疗组为3.3年。新辅助化疗对无事件生存率的影响较小,具有边缘意义(P = 0.11)。对局部治疗类型的结果进行分层,手术加放疗或单纯放疗,未发现化疗效果的任何异质性。© 2000年癌症研究运动http://www.bjcancer.com
The objective of the study was to evaluate the effect of neoadjuvant chemotherapy on the survival of patients with oropharyngeal cancer. Patients with a squamous cell carcinoma of the oropharynx for whom curative radiotherapy or surgery was considered feasible were entered in a multicentric randomized trial comparing neoadjuvant chemotherapy followed by loco-regional treatment to the same loco-regional treatment without chemotherapy. The loco-regional treatment consisted either of surgery plus radiotherapy or of radiotherapy alone. Three cycles of chemotherapy consisting of Cisplatin (100 mg/m2) on day 1 followed by a 24-hour i.v. infusion of fluorouracil (1000 mg/m2/day) for 5 days were delivered every 21 days. 2–3 weeks after the end of chemotherapy, local treatment was performed. The trial was conducted by the Groupe d'Etude des Tumeurs de la Tête Et du Cou (GETTEC). A total of 318 patients were enrolled in the study between 1986 and 1992. Overall survival was significantly better (P = 0.03) in the neoadjuvant chemotherapy group than in the control group, with a median survival of 5.1 years versus 3.3 years in the no chemotherapy group. The effect of neoadjuvant chemotherapy on event-free survival was smaller and of borderline significance (P = 0.11). Stratification of the results on the type of local treatment, surgery plus radiotherapy or radiotherapy alone, did not reveal any heterogeneity in the effect of chemotherapy. © 2000 Cancer Research Campaign http://www.bjcancer.com
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