Health Condition 1: C00-C14- Malignant neoplasms of lip, oral cavity and pharynx
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. histopathologically proven squamous cell carcinoma of head and neck 2.cancers of oralcavity, oropharynx, hypopharynx and larynx 3. stage 3 to stage 4b disease 4. patients with ECOG performance status 0 to 2 5. patients who has given approved informed consent
Exclusion criteria
Exclusion criteria: 1. patients previously treated with surgery, chemotherapy or radiotherapy 2. patients with distant metastasis 3.patients with ECOG performance status 3 and 4 4.pregnant women and lactating mothers
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| AIM To evaluate clinical outcome variations and dose volumetric changes with adaptive IMRT in head and neck cancers objectives to document and assess following parameters 1. acute toxicities a) mucositis b) dermatitis c) dysphagia d) voice changes e) xerostomia 2. clinical responce rate a) changes in gross tumor volume (GTV) b) changes in nodal volume 3. Dose volumetric parameters a) dose to parotid gland b) dose to spinal cordTimepoint: all the patients will undergo CT simulation and treatment planning by IMRT patients will be assessed baseline and weekly basis during RT for acute toxicities patients will undergo rescan and replanning around 23fractions (3 to 5 weeks) and dose volume changes are compared with inital scan | — |
Countries
India
Contacts
Sri venkateswara institute of medical sciences