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Conclusions hypoxia

A significant proportion of HN squamous cell

carcinomas contains hypoxic regions

Patients with hypoxic tumours have poorer

loco‐regional control and survival

Hypoxic modification (sensitizers, HBO, 

hypoxic cytotoxins) during RT results in 

improved loco‐regional control and survival

Predictive assays, hypoxic imaging and 

dosepainting is emerging but still 

investigational