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Early tumors (T1-T2, N0-N1)
Resection of the tumor and neck
dissection when organ-function sparing
surgery is suitable.
Avoid multiple treatment when only one
modality is enough!
Conservation Surgery - Indications
Treatment strategies
EHNS-ESTRO H&N course
Florence, June 2016
Hyper- and accelerated fractionation
Expectations
•
Increased tumor control
•
More severe early reactions
•
Unchanged or less late reactions
70Gy/ 2.0 Gy/ 7w
CF
HF
80.5Gy/ 2x1.15 Gy/ ti=6h/ 7w
70Gy/ 2.0 Gy/ 7w
CF
70Gy/ 2.0 Gy/ 5w
CB
Expectations:
•
Increased tumor control
•
Increased early reactions
•
Unchanged or decreased late
damage
EHNS-ESTRO H&N course
Florence, June 2016