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ESTRO

Treatment of advanced squamous-cell carcinoma of the head

and neck with alternating chemotherapy and radiotherapy.

M. Merlano et al, NEJM, 327:1115-1121, 1992.

Enhancement factor

Effect on tumor control

Effect on normal

tissue toxicity

Early

Late

2

1

2

Local

relapse

?

RT: 70 Gy, 7 weeks

RT+CH: 3 x 20 Gy, 9 weeks;

cddp (20mg/m

2

/d, d1-5)-5Fu (200 mg/m

2

/d, d1-5) x4