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Neoadjuvant chemotherapy for locally advanced squamous cancers of the head and neck: current status and future prospects

Journal

CURRENT OPINION IN ONCOLOGY
Volume 21, Issue 3, Pages 218-223

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/CCO.0b013e328329abe5

Keywords

head/neck cancer; induction chemotherapy; sequential chemoradiation

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Purpose of review To assess the role of neoadjuvant chemotherapy for locally advanced squamous head and neck cancer. Recent findings Several phase III clinical trials in locally advanced squamous head and neck cancer show promising results for neoadjuvant platinum, taxane, and fluorouracil chemotherapy prior to definitive radiation or concurrent chemoradiation. Summary Clinical trials comparing cisplatin and 5-fluorouracil with or without a taxane followed by radiation or concurrent chemoradiation show that the three-drug induction chemotherapy may improve survival particularly for unresectable tumors. Clinical trials comparing chemoradiation with and without induction three-drug chemotherapy are ongoing. Molecular and clinical considerations for using neoadjuvant chemotherapy in the treatment of locally advanced head and neck cancers are being explored.

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