Abstract book - ESTRO meets Asia

S109 ESTRO meets Asia 2018

Results 68 elderly patients of HNSCC treated between 2013 and 2016. Majority (53%) presented in the age group of 65- 70 years and 21% in the age group 71- 75 years. 82% were males and 18% females. Commonest is oral cavity 25/ 68 (38%) followed by larynx 17/68 (25%), oropharynx (9/ 68, 13%) and hypopharynx (9/ 68, 13%). Palliative radiotherapy doses between 20Gy in 5#s to 30 Gy/10#s delivered in 10 patients. Of these 8 patients (80%) died due to cancer within a year. 54 patients given radiation dose 66Gy- 70 Gy. 13/54 (24%) have Stage I-II disease whereas 41/ 54 (76%) have Stage III- IV disease. Of these, 14/ 54 (25%) had cancer –related death and only 2/ 54 (5%) had non- cancer death, 23/54 (43%) are alive, 15/ 54 (27%) were lost to follow- up. Conclusion Elderly HNSCC patients can be treated with radical radiation therapy after careful clinical examination. A thorough geriatric assessment and careful on treatment review is mandatory to enable this cohort of patients to benefit from radical radiation therapy. PO-264 Predictive Factors of Radiation Therapy Disruption in Asian Geriatric Head and Neck Cancer Patients W. Hoy 1 , Y.H. Leong 1 , F. Ho 1 1 National Cancer Institute of Singapore, Radiation Therapy centre, Singapore, Singapore PO-265 Preliminary analysis of geriatric head and neck squamous carcinoma treated by modulated radiotherapy T. Basu 1 , A. Bhange 1 , N. Bhaskar 1 , K. Armugam 1 , U. Saxena 1 , S. Vangipuram 1 , N. Behere 2 , P. Raina 3 , Y. Chedda 3 , S. Shah 4 , P. Shah 5 1 HCG Apex Cancer Centre, Radiation Oncology, Mumbai, India 2 HCG Apex Cancer Centre, Psychiatry, Mumbai, India 3 HCG Apex Cancer Centre, Surgical Oncology, Mumbai, India 4 HCG Apex Cancer Centre, Physiotherapy, Mumbai, India 5 HCG Apex Cancer Centre, Speech and swallow therapy, Mumbai, India Purpose or Objective Geriatric head and neck squamous carcinomas (GHNC) treatment remains challenging due to multiple patient and treatment related factors. We analysed preliminary single institution data for seventeen head and neck squamous cell carcinoma patients beyond 70 years of age treated by modulated radiotherapy (MRT). Material and Methods There were 17 patients (M:14,F:3) with median age of 78 years (70-90) treated by MRT at our centre were analysed for efficacy and acute side effects. Besides demographic and disease related parameters compliance to treatment, rate of hospitalisation, dependency of WHO ladder 3 analgesia and early clinic-radiological outcomes were analysed. We also assessed the requirement of support staff like dietician, oromotor physiotherapist, psychological counsellor and geriatric physician. Results The median follow up was 3 months. 65% patients were locally advanced stage and 65% received radical MRT. For radical MRT the dose ranged between 66-70 Gy in 30-33 fractions and 5 patients received palliative MRT. 83% completed intended treatment with 30% had MRT interruptions. 48% patients required hospitalisation. 60% had comorbidities with 35% two or more types. 3 patients had concurrent chemotherapy and 48% had hospitalisation and 60% had feeding tubes.65% and 30% had post MRT endoscopic evaluation and imaging respectively. Among Abstract withdrawn

them 80% are loco-regionally controlled. 30% patients are long term (more than 3 months) tube dependent and morphine dependent. There were 2 deaths while on MRT both due to associated cardiac comorbidities. 40% (2/5) and 45% (5/11) of palliative and radical MRT patients respectively had complete response post MRT. All patients underwent psychological counselling and dietician evaluation. Geriatric physician and physiotherapist were called as and when required. Non disease related concerns like alteration in daily quality of life (QOL), social engagement related issues, age related dementia and end of life care emerged as prominent issues beyond disease control. Conclusion GHNC are a unique group with its own challenge. In specialised setting and with MRT treatment compliance and effective outcome is highly promising. Age solely should not define treatment indication. Early clinical results with MRT are quiet encouraging. However it also brought about need of establishing dedicated GHNC clinics encompassing radiation oncologist with other support staffs. PO-266 Predictive Factors of Radiation Therapy Disruption in Asian Geriatric Head and Neck Cancer Patients PO-267 Demographic Analysis Head and Neck Cancer of Radiation Therapy Delay H.F. Yang 1,2 , Y.H. Chou 1,3 , S.T. Li 1 , C.H. Liao 1,2 , P.F. Tsai 1,2 , H.L. Chen 1 , C.C. Wu 1 , Y.C. Lee 1 1 Chang Shan Medical University Hospital, Radiation Oncology, Taichung, Taiwan 2 Chang Shan Medical University Hospital, Nursing, Taichung, Taiwan 3 Chang Shan Medical University Hospital, School of Medicine Imaging and Radiological Sciences, Taichung, Taiwan Purpose or Objective It is important to complete the radiotherapy on time or without interruption, However, patients do rest during the treatment for various reasons. The purpose of this study is to head and neck analyze the reasons for interruption during radiotherapy Material and Methods We collected 93 all head and neck patients who have rested during the radiotherapy in our department in 201. 6Patient population and the causes of rest were evaluated. The demographic data includes gender, age, and stage, purpose of treatment, completed or uncompleted RT treatment, delayed days We use Fishbone diagram (Ishikawa diagram) to categorize the reasons. Under 4 major categories, we subdivided the reasons. Statistical analysis were then made Nursing care 1. Early nutrition education intervention helps improve patient nutrition. Encourage protein-rich diet and balanced nutrition. 2.hold ice cubes in their oral cavity of the treated area 2- 3 times/day, 10-15 min/time. 3.Provide patients with the educational handout on skin care during radiotherapy 4.Encourage cold packing of the neck skin treated area 2- 3 times/day, 10-15 min/time. 5.Ask the patient to sign on the report if they understand all the above schedule next appointment (day 10) The day when 10 fractions: 1.Understand how the patient implemented the instructions given on Day 1. Abstract withdrawn Clinical: Health services research/Health economics