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Correspondence
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Volume 339:1330-1331 October 29, 1998 Number 18
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Treatment of Head and Neck Cancer

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 by Brizel, D. M.
To the Editor: Brizel et al. (June 18 issue)1 conclude that hyperfractionated irradiation with concurrent chemotherapy "is more efficacious and not more toxic than hyperfractionated irradiation alone." At three years, the estimated rate of overall survival was 55 percent in the combined-therapy group and 34 percent in the hyperfractionation group (P=0.07). This difference is not statistically significant.

Feeding tubes were required in 44 of 56 patients (79 percent) in the combined-treatment group and 29 of 60 patients (48 percent) in the hyperfractionation group. Soft-tissue necrosis occurred in 11 patients (20 percent) in the combined-treatment group and 7 patients (12 percent) . . . [Full Text of this Article]

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