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Impact of NACT on surgical decision and peri-operative outcome in patients with very advanced buccal cancer

Impact of Neo adjuvant chemotherapy on surgical decision and peri-operative outcome in patients with very advanced buccal cancers - nil

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
CTRI
Registry ID
CTRI/2024/06/069588
Enrollment
30
Registered
2024-06-27
Start date
Unknown
Completion date
Unknown
Last updated
2024-07-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: 4- Measurement and Monitoring

Interventions

Control Intervention1: nil: nil

Sponsors

AIIMS, New Delhi
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: . All patients age 18 years and above with the confirmed diagnosis of locally advanced non metastatic carcinoma- buccal mucosa who were deemed as borderline resectable on multi-disciplinary team discussion and received neo-adjuvant chemotherapy before definitive surgery from January 1 , 2019 to Feb 2023 at both the centres( retrospective study) . 2. For prospective part of study, all newly diagnosed locally advanced- non metastatic carcinoma buccal mucosa patients who will be fulfilling below mentioned criteria for borderline resectability will be included. a. Gingivo- buccal complex cancers with extensive skin involvement. b. Skin edema reaching upto the level of zygoma. c. Lateral pterygoid muscle, temporalis insertion or retroantral fat involvement. 3. Performance status: 0-1 4. Medically fit for definitive surgery

Exclusion criteria

Exclusion criteria: All patients with disease extension to infra-notch area and pterygo-maxillary fissure involvement will not be included in the study.

Design outcomes

Primary

MeasureTime frame
1.Surgical conversion Rate 3.Clinical and radiological factors associated with operability and chemotherapy effectiveness: 4.To evaluate surgical margins in patients who received neo-adjuvant chemotherapy before surgery: 5.Surgical outcomesTimepoint: 3 weeks

Secondary

MeasureTime frame
1. Total Duration of hospital stay after surgery: a. For calculation of number of days, day will be calculated from date of surgery to day of discharge. 2. Radiological assessment of tumor response post neo-adjuvant chemotherapy in prospectively involved patients: a. Response will be assessed as per RECIST guidelines Timepoint: 3 weeks

Countries

India

Contacts

Public ContactDr Akash Mishra

All India Institute of Medical Sciences

kapil_sikka@yahoo.com9810423088

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026