Table 3. Treatment options and radiotherapy dose in relation to stage and primary tumour site.
n | Primary site | St I | St II | St III | St IV | St X | n × radiation dose (Gy)/n of fractions (reason of protocol violation) |
Definitive IMRT (48 patients) | |||||||
6 | Oral cavity | 1 | 3 | 2 | 6 × 70/35 | ||
15 | Oropharynx | 2 | 6 | 3 | 4 | 1 × 44/22 (toxic megacolon), 4 × 66/30, 2 × 66/33 (T1N0), 8 × 70/35 | |
12 | Nasopharynx | 1 | 1 | 10 | 1 × 62/31 (patient refusal), 1 × 66/33 (T1N0), 2 × 68/34, 8 × 70/35 | ||
3 | Hypopharynx | 3 | 1 × 66/30, 2 × 70/35 | ||||
6 | Larynx | 1 | 4 | 1 | 1 × 50/25 (prior supraclavicular RT), 3 × 66/33, 2 × 70/35 | ||
4 | Sinus | 1 | 3 | 1 × 50/25 (pre-operative), 1 × 60/30, 2 × 70/35 | |||
2 | 1 nose, 1 CUP | 1 | 1 | 2 × 70/35 | |||
Post-operative IMRT (30 patients) | |||||||
13 | Oral cavity | 2 | 3 | 3 | 5 | 2 × 60/30, 11 × 66/33 | |
6 | Oropharynx | 2 | 2 | 2 | 1 × 60/30, 1 × 66/33, 1 × 68/34 (pos SM), 3 × 70/35 (pos SM) | ||
1 | Nasopharynx | 1 | 1 × 70/35 (after adenoidectomy) | ||||
1 | Larynx | 1 | 1 × 56/28 (prior RT for lymphoma) | ||||
1 | Sinus | 3 | 3 × 66/33 | ||||
6 | Salivary gland | 2 | 2 | 2 | 1 × 18/9 (intercurrent death), 3 × 66/33, 1 × 68/34 (pos SM), 1 × 70/35 (pos SM) | ||
2 | 1 CUP, 1 EAC | 1 | 1 | 1 × 60/30, 1 × 66/33 |
St, stage; CUP, carcinoma of unknown primary; EAC, external auditory canal; IMRT, intensity-modulated radiotherapy; pos SM, positive resection margins; RT, radiotherapy.