Should radiotherapy be considered for palliative treatment of head and neck cancer?

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- Radiotherapy should be the most effective palliative treatment in symptomatic SCCHN OA. A tailored approach, guided by geriatric tools, would be indicated to choose the right therapy.
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  Palliative radiotherapy in older adults with head and neck ...
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Can palliative radiation therapy treat head and neck cancer?
The treatment of head and neck cancers with palliative radiation therapy has been studied in retrospective institutional studies and small phase 2 trials, as seen in Table 1.

Palliative Radiation Therapy for Head and Neck Cancers

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Where can I find studies on palliative radiation for head and neck cancer?
PubMed, EMBASE, MEDLINE, and Cochrane Library databases were searched for published studies on palliative radiation for head and neck cancers from 1993 to 2018.

Palliative Radiation Therapy for Head and Neck Cancers

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Can hypofractionated radiotherapy treat advanced head and neck cancer?
Hypofractionated radiotherapy for the palliation of advanced head and neck cancer in patients unsuitable for curative treatment—“Hypo Trial”. Radiother Oncol 2007;85:456-62. doi:10.1016/j.radonc.2007.10.020 pmid:18036689 The ‘QUAD SHOT’—a phase II study of palliative radiotherapy for incurable head and neck cancer.

Palliative radiotherapy - The BMJ

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Can radiation therapy be used in a palliative setting?
Although some studies support the use of radiation therapy in the palliative setting, no consensus exists to guide provider selection of appropriate regimens for individual patients. Radiation regimens vary in treatment length from 3 days to conventional 7-week courses. Providers often select regimens based off a holistic assessment of a patient.

Palliative Radiation Therapy for Head and Neck Cancers

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Can palliative radiotherapy treat advanced cancer?
A wide range of focal symptoms from advanced cancer can be treated with palliative radiotherapy as described below (and in table 1). Patients can undergo radiotherapy alongside palliative systemic anticancer treatments.

Palliative radiotherapy - The BMJ

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What is the difference between palliative and curative radiotherapy?
Curative radiotherapy is routinely delivered over multiple, small daily doses (fractions) to reduce the risk of long term, permanent side effects in adjacent normal tissues. 5 Palliative treatments require lower total doses, with the focus shifting to symptom control while minimising treatment burden.

Palliative radiotherapy - The BMJ

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www.redjournal.org › article › S0360-3016(19)30746-1Palliative Radiation Therapy for Head and Neck Cancers

www.redjournal.org › article › S0360-3016(19)30746-1
Oct 1, 2019 · The goal of a palliative course of radiation therapy is to minimize toxicity, and as such, IMRT should be considered, given its greater ability to spare critical structures in the head and neck from radiation dose than less conformal techniques.
pmc.ncbi.nlm.nih.gov › articles › PMC4873917Palliative and supportive care in head and neck cancer ...

pmc.ncbi.nlm.nih.gov › articles › PMC4873917
• Palliative surgery should be considered in selected cases. (R) • Hypofractionated or short course radiotherapy should be considered for local pain control and for painful bony metastases. (R) • All palliative patients should have a functional endoscopic evaluation of swallowing (FEES) assessment of swallow to assess for risk of ...
www.macmillan.org.uk › cancer-information-andHead and neck cancer radiotherapy | Macmillan Cancer Support

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Treatment may take 4 to 7 weeks, depending on the type and size of the cancer. If you are having palliative radiotherapy, you may have a single treatment or 1 to 3 weeks of treatment. Your cancer doctor (clinical oncologist), specialist nurse, or radiographer will discuss the treatment with you.
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www.bmj.com › content › 360Palliative radiotherapy - The BMJ

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Mar 23, 2018 · Palliative radiotherapy offers effective symptom control for focal disease due to cancer. Increased analgesia, anti-emetics, and in some cases corticosteroids can help to reduce discomfort and side effects. Acute side effects of radiotherapy usually resolve within 4-6 weeks of completing treatment.
pubmed.ncbi.nlm.nih.gov › 31128145Palliative Radiation Therapy for Head and Neck Cancers

pubmed.ncbi.nlm.nih.gov › 31128145
Oct 1, 2019 · An ideal palliative radiation regimen should alleviate symptoms secondary to the cancer with minimal treatment toxicity and side effects while improving a patient's quality of life.
- Author: Amardeep S. Grewal, Joshua Jones, Alexander Lin
- Publish Year: 2019
www.kmcc.nhs.uk › s3 › assetsOncological Treatment of Head and Neck Cancer - KMCC

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Palliative radiotherapy may be considered as initial treatment for those with locally advanced disease not amenable to radical treatment or patients with poor performance status. Radiotherapy doses are governed by the respective Q Pulse Documents on radiotherapy protocols.
www.ncbi.nlm.nih.gov › pmc › articlesAssessing the efficacy of palliative radiation treatment ...

www.ncbi.nlm.nih.gov › pmc › articles
Jun 26, 2023 · The objective to assess the outcomes from different palliative radiotherapy (RT) schedules in incurable head and neck cancer (HNC), to evaluate if there is a relationship between RT dose, technique, and fractionation with tumor response in contrast to the occurrence of adverse effects.

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