Abstract
Cancer of the nasopharynx is an uncommon malignancy in France (incidence = 0.5/year/100,000 men) but is endemic in areas like in South-East Asia. Exclusive radiation therapy used to be the standard and results in local control rates for T3-T4 tumors around 50-75%. Intensity-modulated radiotherapy (IMRT) improves tumor coverage with a sparing of organs at risk and has to be privileged. Concurrent chemotherapy with IMRT achieved significant survival benefice with 5-year overall survival above 75%. Concurrent radiochemotherapy with platinium is the most frequent scheme but induction and adjuvant chemotherapies are discussed to reduce distant failure: studies are currently ongoing. Follow-up aims to detect early local failures with a chance of cure and to manage long-term toxicities.
Translated title of the contribution | Nasopharyngeal cancers, an overview |
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Original language | French |
Pages (from-to) | 445-454 |
Number of pages | 10 |
Journal | Bulletin du Cancer |
Volume | 101 |
Issue number | 5 |
DOIs | |
Publication status | Published - 1 Jan 2014 |