Current management of stage IV nasopharyngeal carcinoma without distant metastasis.

Abstract:

:Up to one in four patients with nasopharyngeal carcinoma present with non-metastatic stage IV disease (i.e. T4 or N3). Distinct failure patterns exist, despite the routine adoption of contemporary treatment modalities such as intensity modulated radiotherapy and systemic chemotherapy. Concurrent chemoradiotherapy (CCRT) followed by adjuvant chemotherapy or induction chemotherapy followed by CCRT are commonly employed in this setting, with the latter emerging as the preferred option. Additionally, emerging radiation technologies like proton therapy has become available offering new opportunities for prevention of radiation-induced side effects. This article reviews not only the current treatment strategies, but also discusses novel ways to tackle this challenging disease with respect to the patterns of failure.

journal_name

Cancer Treat Rev

journal_title

Cancer treatment reviews

authors

Ng WT,Corry J,Langendijk JA,Lee AWM,Mäkitie A,Mendenhall WM,Rinaldo A,Rodrigo JP,Saba NF,Smee R,Strojan P,Suárez C,Vermorken JB,Ferlito A

doi

10.1016/j.ctrv.2020.101995

subject

Has Abstract

pub_date

2020-04-01 00:00:00

pages

101995

eissn

0305-7372

issn

1532-1967

pii

S0305-7372(20)30033-5

journal_volume

85

pub_type

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