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Table 3 Treatment related toxicities

From: Second-line treatment of recurrent HNSCC: tumor debulking in combination with high-dose-rate brachytherapy and a simultaneous cetuximab-paclitaxel protocol

 

Total group

Study group

Control group

Salvage surgery

Salvage surgery plus BT

BT in palliation

Cetuximab

Paclitaxel

%

(n = 94)

(n = 18)

(n = 18)

     

Overall acute and chronic side effects:

CTC overall

26.6

44.4

33.3

36-39 (III,IV,V)

7-23 (III,IV)

13-35 (II,III)

15-41 (III-IV)

 

 CTC I

6.4

16.7

5.6

     

 CTC II

10.6

16.7

16.7

     

 CTC III

9.6

11.1

11.1

     

LENT-SOMA overall

14.9

27.8

11.1

 

7-23 (III,IV)

7-33 (II,III)

  

 LENT-SOMA I

3.2

5.6

5.6

     

 LENT-SOMA II

7.4

16.7

--

     

 LENT-SOMA III

4.3

5.6

5.6

     

Acute and chronic side effects in detail:

Mucositis

5.4

11.1

5.6

 

10 (III)

60 (I,II)

8-56 (III,IV)

17-35 (III,IV)

Lymph edema

10.6

16.7 (II,III)

11.1

    

21

Pain

--

--

--

  

20

6

 

Dysphagia

6.4

22.2

--

53-58 (III)

32-39 (II,III)

4-16

26 (II,III)

15

Bleeding

3.2

--

16.7

1-3 (IV,V)

3-14 (II,III,IV)

3-7 (III)

8 (II,II)

14 (III)

Woundheeling disorder

10.6 (II,III)

16.7 (II,III)

5.6 (II,III)

12-17

15-17 (II,III)

4 (III)

11-23 (II,IV)

 

Soft tissue necrosis

--

--

--

 

7 (III)

7-28 (II,III)

  

Osteoradionecrosis

--

--

--

 

4 (III,IV)

1-17 (II,III)

  

Fibrosis

2.1

5.6

--

 

7-29 (II,III)

2-7 (II,III)

  

Skin reaction

3.1

11.1 (III,IV)

    

9-16 (III,IV)

12

Infusion reaction

1.1

5.5 (III)

    

2-22 (III,IV)

 

Neutropenia

1.1

5.6 (IV)

    

8 (III,IV)

14-75 (IV)

Renal failure

--

--

     

7 (III,IV)

Neuropathy

 

--

  

4-26 (II,III,IV)

7 (III)

4

7 (III,IV)

  1. Shows the toxicity profile of the study group compared to the total group, the control group and to literature. Other studies treating recurrent HNSCC by salvage surgery [3436], salvage surgery combined with Brachytherapy (BT) [32, 4244], single BT in palliation [24, 37, 38, 42, 43, 45, 46] or studies that used Cetuximab [1, 11, 4752] within their regime were listed using the CTC (common toxicity criteria) and LENT (Late Effects Normal Tissue)-SOMA-classifications. The toxicity levels the percentage values from literature refer to were put in brackets