Experience of Superselective Intraarterial Chemotherapy in Head and Neck Cancers

Accession number;04A0108711
Title;Experience of Superselective Intraarterial Chemotherapy in Head and Neck Cancers
Author; HASEGAWA KENSAKU (Tottori Univ., Fac. of Med., Univ. Hosp.) YAMAMOTO YUKO (Tottori Univ., Fac. of Med., Univ. Hosp.) SAKOTA TAKEMA (Tottori Univ., Fac. of Med., Univ. Hosp.) TAKEUCHI HIROMI (Tottori Univ., Fac. of Med., Univ. Hosp.) MATSUDA EIKEN (Yoka Hospital, JPN) OUCHI YASUFUMI (Tottori Univ., Fac. of Med., Univ. Hosp.) KAMINO TOSHIO (Tottori Univ., Fac. of Med., Univ. Hosp.) NAKATANI HIROAKI (Kochi Univ., JPN) TAKEDA TAIZO (Kochi Univ., JPN)
Journal Title;Practica Otologica (Kyoto)
Journal Code:G0710A
ISSN:0032-6313
VOL.97;NO.2;PAGE.147-154(2004)
Figure&Table&Reference;FIG.5, TBL.2, REF.13
Pub. Country;Japan
Language;Japanese
Abstract;Internal-arterial chemotherapy was performed in 13 patients with head and neck cancers. We used a retrograde catheter to infuse antineoplastic agents. The tip of the catheter was led selectively into the main feeding artery of the tumor via superficial temporal artery and/or occipital artery. In this study, 4 cases had undergone operational procedures after chemotherapy with or without conventional external-beam radiotherapy and 8 cases were treated with chemoradiotherapy alone. The other 1 case received chemoradiotherapy after a non-curative operation. In this study, 11 of the 13 patients completed all therapeutic regimens. The median duration of follow-up was 23.6 months and there was no apparent reccurence in 9 (81.2%) of the 11 patients. One patient died of disease and 1 patient remained alive with disease. There were 10 events of under grade II toxicity and 2 patients died in the following period (grade V). These results demonstrate that, if the indications are appropriate, internal-arterial chemoradiotherapy is effective, with confirmed organ preservation in patients with head and neck cancers. (author abst.)