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One trial:

BSC (n=26) versus bleomycin (n=22) versus cisplatin (n=38) versus cisplatin

plus bleomycin (n=30).

The conclusions were

cisplatin improved survival compared with BSC by 10 weeks

cisplatin was better than bleomycin or methotrexate

cisplatin monotherapy (median survival: 160 days) was at least as

effective as the platinum-based combinations.

Randomized trials chemotherapy versus BSC

Campbell JB et al Acta Otolaryngol 1987

Morton et al Cancer Chemother Pharmacol.1985