Continous Hyper-Frationated Accelerated Radiotherapy (CHART) In Head And Neck Cancers

Journal Title: National Journal of Medical and Dental Research - Year 2018, Vol 6, Issue 4

Abstract

• Background – head and neck malignancies are moderately radiosensitive. With the aim to increase loco-regional control Continuous Hyper-fractionated Accelerated radiotherapy has been studied in 50 patients with head and neck malignancies. • Patient and methods – 50 patients diagnosed with head and neck malignancies participated in the study between July 1996 – March 1997. Average age was 50 (30 – 70 yrs). 82 % male patients and 18 % female patients. Cancer of cheek, alveolar margin, tongue and tonsillar fossa accounts for 96 % of patients. Daily dose of 1.4 Gy thrice daily in 6 hours interval were given for 12 consecutive days. • Results - follow up period 5 months – 15 months, primary site -80 % had shown complete response while 20 % have shown partial response for primary site. Nodal disease – 70 % had shown complete response and 30 % had shown partial response. None of the patient had shown disease progression. Acute radiation reaction - 14 %, 68 % and 18% had shown grade 0, I, II grade acute radiation reaction, no grade III reaction have been observed in study group. Reoccurrence – 8 % at primary site, 12 % had shown nodal recurrence. • Conclusion – CHART has shown better loco-regional control. It could be more effective in early stage disease. Acute radiation reaction is significant but manageable. Treatment volume has to be kept minimal to reduce radiation reaction.

Authors and Affiliations

Ashutosh Agnihotri, Deepa Agnihotri

Keywords

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  • EP ID EP574540
  • DOI -
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How To Cite

Ashutosh Agnihotri, Deepa Agnihotri (2018). Continous Hyper-Frationated Accelerated Radiotherapy (CHART) In Head And Neck Cancers. National Journal of Medical and Dental Research, 6(4), 538-542. https://europub.co.uk/articles/-A-574540