Frameless stereotactic radiosurgery for recurrent head and neck carcinoma

被引:68
|
作者
Voynov, George
Heron, Dwight E. [1 ]
Burton, Steven
Grandis, Jennifer
Quinn, Annette
Ferris, Robert
Ozhasoglu, Cihat
Vogel, William
Johnson, Jonas
机构
[1] Univ Pittsburgh, Inst Canc, Dept Radiat Oncol, Pittsburgh, PA 15260 USA
[2] Univ Pittsburgh, Inst Canc, Dept Otolaryngol, Pittsburgh, PA USA
关键词
frameless stereotactic radiosurgery; CyberKnife (R) body radiosurgery; and Recurrent squamous cell carcinoma of the head and neck;
D O I
10.1177/153303460600500510
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The aim of this study was to assess the feasibility and toxicity of stereotactic radiosurgery (CK-SRS) using the CyberKnife((R)) Frameless Radiosurgery System (Accuray Inc., Sunnyvale, CA) in the management of recurrent squamous cell carcinoma of the head and neck region (SCCHN). Between November 2001 and February 2004, 22 patients with recurrent, previously irradiated SCCHN were treated with CK-SRS. The following endpoints were assessed post-CK-SRS: local control (LC), cause-specific survival (CSS), overall survival (OS), symptom relief, and acute and late toxicity. Kaplan-Meier survival analyses were used to estimate the LC, CSS, and OS rates. Clinical symptoms were graded as "improved," "stable," or "progressed" after CK-SRS. Acute and late toxicity were graded according to the National Cancer Institute Common Toxicity Criteria (CTC) scale, version 2.0. Seventeen patients were followed until their death. The median follow-up in the remaining five patients was 19 months (range 11-40 months). The median survival time for the entire cohort was 12 months from the time of CK-SRS. The 2-year LC, CSS, and OS rates were 26%, 26%, and 22%, respectively. After CK-SRS, symptoms were improved or stable in all but one patient who reported increasing pain. The treatment was well tolerated, with one case each of Grade 2 and 3 mucositis. There were no acute Grade 4 or 5 CTC toxicities. There were no late toxicities in this cohort. Frameless stereotactic radiosurgery for recurrent SCCHN is feasible and safe in the setting of high doses of prior irradiation. The majority of patients experienced palliation of disease without excess toxicity.
引用
收藏
页码:529 / 535
页数:7
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