Concurrent Chemoirradiation in Elderly Head and Neck Cancer Patients
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 7
Abstract
Cancer and its treatment can affect the overall life expectancy as well as the active life expectancy and function of older patients. H and N cancers are the leading cancer in elderly population. The present study evaluated the pattern of tolerance and response to treatment in elderly(>65 years) H & N cancer patients. A total of 30 elderly patients of age >65 years of head and neck cancer were treated with concurrent chemoirradiation. Of the 30 patients planned for concurrent chemoirradiation, only 22 patients(73.3%) were able to complete the prescribed treatment. 2 patients were not able to finish the course of chemoirradiation. Both the patients developed grade 4 thrombocytopenia and neutropenia during the treatment course. 6 patients(20%) expired during the treatment course. All the patients expired because of aspiration pneumonia. 5 patients received <3 cycles of chemotherapy. This study concluded that Concurrent chemoRadiation therapy is well tolerated in elderly patients with minor toxicities.With a thorough risk benefit assessment patients can be offered a curative treatment.
Authors and Affiliations
Manikumar S, Hasib A G, Almeida V G, Athiyamaan M S, Sandesh Rb, Sharaschandra S
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