From: Current radiotherapy for recurrent head and neck cancer in the modern era: a state-of-the-art review
Radiotherapy technique | Most frequent subsites treated | Median irradiation dose, Gy | Efficacy | Severe toxicity |
---|---|---|---|---|
IMRT | Oropharyngeal; Neck | 49–70 | 2-year LC: 46–57%; 2-year OS: 41–50% | Grade ≥ 3 late toxicities: 14.2–57.1%; Grade 5 late toxicities: 1.3–7.4% |
SBRT | Neck; Oral cavity | 30–48 | 2-year LRC: 31.7–64%; 1-year OS: 32–58.9%; 2-year OS: 16–35%; Median OS: 7.5–14.4 mo | Grade ≥ 3 toxicities: 4.7–21% |
HDR-BRT | Neck; Oral cavity; | 12–36.5 | 1-year LC: 55–77%; 2-year LC: 62–67%; 1-year OS: 63–77%; 2-year OS: 42–67%; Median OS: 8.5–33.4 mo | Grade ≥ 3 toxicities: 0–34.4% |
LDR-BRT | Neck; Nasopharynx | D90: 117–157.5 | 1-year LC: 40.6–75.2%; 2-year LC: 27.5- 49.9%; 1-year OS: 42.5–70.8%; 2-year OS: 18.2–39%; Median LC: 10–24 mo; Median OS: 11–28 mo | Grade ≥ 3 toxicities: 0–9.9% |
Irradiation with systemic therapy | Oropharynx; Oral cavity | 27–60 | 1-year LC: 46.4–78.6%; 1-year OS: 23–85%; 2-year OS: 10–67%; Median OS: 6–37.4 mo | Grade ≥ 3 toxicities: 5.8–57.6% |