Induction chemotherapy with docetaxel, cisplatin and fluorouracil followed by concurrent chemoradiotherapy for unresectable sinonasal undifferentiated carcinoma: Two cases of report
| Autor: | Hidekazu Hirano, Naoya Murakami, Seiichi Yoshimoto, Natsuko Okita, Taisuke Mori, Sho Watanabe, Hiroshi Igaki, Satoru Iwasa, Narikazu Boku, Kenya Kobayashi, Fumihiko Matsumoto, Hirokazu Shoji, Atsuo Takashima, Ken Kato, Yoshitaka Honma, Jun Itami |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Oncology
medicine.medical_specialty Intensity-modulated radiotherapy Docetaxel Sinonasal undifferentiated carcinoma 03 medical and health sciences 0302 clinical medicine Internal medicine Case report Medicine neoplasms Cisplatin business.industry Chemotherapy with docetaxel cisplatin and fluorouracil chemotherapy Induction chemotherapy General Medicine Chemoradiotherapy medicine.disease Concurrent chemoradiotherapy Fluorouracil 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Intensity modulated radiotherapy business therapeutics medicine.drug |
| Zdroj: | World Journal of Clinical Cases |
| ISSN: | 2307-8960 |
| Popis: | BACKGROUND Sinonasal undifferentiated carcinoma (SNUC) is a rare aggressive tumor that is often unresectable. Optimal treatment for patients with unresectable, locally advanced SNUC (LA-SNUC) has not been established, and the patient outcome remains poor. We report two cases of unresectable LA-SNUC in which induction chemotherapy with docetaxel, cisplatin and fluorouracil (TPF) followed by radiotherapy with concurrent cisplatin (CCRT), a standard treatment option for locally advanced head and neck cancer, demonstrated promising outcomes. CASE SUMMARY A 39-year-old man presented with tearing and pain in the right eye. A biopsy of the tumor invading the sinonasal cavities, right orbit and cranial base confirmed the diagnosis of LA-SNUC. Induction TPF chemotherapy induced remarkable tumor shrinkage and rapidly improved the symptoms. He subsequently received CCRT and achieved complete remission of the disease. The other case is a 21-year-old man who presented with worsening vision. The unresectable tumor involving the nasal septum and cranial base was pathologically diagnosed as SNUC. TPF chemotherapy followed by CCRT yielded complete remission of the disease with preserved visual function. Both patients have been disease-free for 44 mo. CONCLUSION Induction TPF chemotherapy followed by CCRT may remarkably improve the outcomes in LA-SNUC patients. |
| Databáze: | OpenAIRE |
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