From: HubMed - cancer <rssfwd@rssfwd.com>
Date: Tue, May 13, 2008 at 11:17 PM
Subject: Treatment Techniques and Site Considerations Regarding Dysphagia-Related Quality of Life in Cancer of the Oropharynx and Nasopharynx.
To: mesothelioma77@gmail.com
[1]Int J Radiat Oncol Biol Phys. 2008 May 7;
Teguh DN, Levendag PC, Noever I, van Rooij P, Voet P, van der Est H, Sipkema D, Sewnaik A, de Jong RB, de la Bije D, Schmitz PI
PURPOSE: To assess the relationship for oropharyngeal (OP) cancer and nasopharyngeal (NP) cancer between the dose received by the swallowing structures and the dysphagia related quality of life (QoL). METHODS AND MATERIALS: Between 2000 and 2005, 85 OP and 47 NP cancer patients were treated by radiation therapy. After 46 Gy, OP cancer is boosted by intensity-modulated radiation therapy (IMRT), brachytherapy (BT), or frameless stereotactic radiation/cyberknife (CBK). After 46 Gy, the NP cancer was boosted with parallel-opposed fields or IMRT to a total dose of 70 Gy; subsequently, a second boost was given by either BT (11 Gy) or stereotactic radiation (SRT)/CBK (11.2 Gy). Sixty OP and 21 NP cancer patients responded to functional and QoL questionnaires (i.e., the Performance Status Scales, European Organization for Research and Treatment of Cancer H&N35, and M.D. Anderson Dysphagia Inventory). The swallowing muscles were delineated and the mean dose calculated using the original three-dimensional computed tomography-based treatment plans. Univariate analyses were performed using logistic regression analysis. RESULTS: Most dysphagia problems were observed in the base of tongue tumors. For OP cancer, boosting with IMRT resulted in more dysphagia as opposed to BT or SRT/CBK. For NPC patients, in contrast to the first booster dose (46-70 Gy), no additional increase of dysphagia by the second boost was observed. CONCLUSIONS: The lowest mean doses of radiation to the swallowing muscles were achieved when using BT as opposed to SRT/CBK or IMRT. For the 81 patients alive with no evidence of disease for at least 1 year, a dose-effect relationship was observed between the dose in the superior constrictor muscle and the "normalcy of diet" (Performance Status Scales) or "swallowing scale" (H&N35) scores (p
___
Source: http://www.hubmed.org/display.cgi?uids=18472364
--
Powered by [5]RssFwd, a service of [6]Blue Sky Factory, Inc
Your Finance:
Your Guide, Tips, Strategies And Info
Debts, Loans And Debt Consolidation
Your Guide, Tips, Strategies And Info
Consolidate Debt Loans: For Better Debt Management
Consolidate Debt Loans: To Eliminate Credit Card Debts
Consolidate Debt Loans For Your School Debts
Debt Consolidation UK; Secured and Unsecured Debt Consolidation Explained
Private Student Loans: A Parent's Best Choice?
School Consolidation Loan Guide
School Loan Consolidation: Your Much Needed Information
Your Mortgage Tips, Guide, Strategies And Info
How Much Mortgage Can I Afford?
Best Mortgage Rates Refinancing
Connecticut Mortgage Refinancing
Mortgage Loan Refinancing In Britain
UK Mortgage Payment Calculator
Arkansas Refinance Mortgage Rates
Home Loan Rates Berkeley Springs
Foreclosures Tips, Guide, Strategies and Info Sites
Guide And Info On Foreclosures
Mortgage Foreclosure Appraisal
Wyandotte County Home Foreclosures
Regulations Preventing Foreclosure
Your Real Estate Tips, Guide, Strategies And Info:
Real Estate: Important Things to Remember
It's All About Your Insurance
Insurance Premiums and Your DUI, DWI
Low Car Insurance Rates Canada
Your DWI And DUI Tips, Guide And Info:
Your Pet Dogs Needs, Tips, Guide, Strategies, and Info
Air Filled Dog Bed: Your Best Friends Comfort
Pet Dogs: Breeds With Behavioral Problems?
Your Health Tips, Guide and Info
Relieve Stress Anxiety Tensions
Mesothelioma diagnosis: What You Need To Know
More Articles For You
Business Tips, Guide And Info
Work At Home Ideas and Opportunities
Work At Home
Work At Home Opportunities
Work At Home Ideas
Work At Home Business
http://www.lingwellness.com/bankofamericaforeclosure.php
http://www.lingwellness.com/wyandottecountyhomeforeclosures.php
http://www.lingwellness.com/guideandinfoonforeclosures.php
http://www.lingwellness.com/governmentforeclosures.php
http://www.lingwellness.com/hudforeclosures.php
http://www.lingwellness.com/tipsandinfoonforeclosures.php
http://www.lingwellness.com/avoidforeclosure.php
http://www.lingwellness.com/foreclosures.php
http://www.lingwellness.com/reasonsforeclosuresoccur.php
http://www.lingwellness.com/ukmortgagepaymentcalculator.php
http://www.lingwellness.com/homeloanrateswv.php
http://www.lingwellness.com/mortgageratehistory.php
http://www.lingwellness.com/lowmortgageraterefinance.php
http://www.lingwellness.com/connecticutmortgagerefinancing.php
http://www.lingwellness.com/arkansasrefinancemortgagerates.php
http://www.lingwellness.com/homeloanratesberkeleysprings.php
http://www.lingwellness.com/bestmortgageratesrefinancing.php
http://www.lingwellness.com/howmuchmortgagecaniafford.php
http://www.lingwellness.com/mortgagerefinancing.php
http://www.lingwellness.com/realestate.php
http://www.lingwellness.com/msbeachvacationcondos.php
http://www.lingwellness.com/margaterealestate.php
http://www.lingwellness.com/hudapprovedbuilders.php
http://www.lingwellness.com/bankruptcymarketing.php
http://www.lingwellness.com/bankruptcymailinglist.php
http://www.lingwellness.com/enterbankruptcyprotection.php
http://www.lingwellness.com/debtconsolidationuk2.php
http://www.debt2consolidationloan.com/
http://www.debt2consolidationloan.com/
http://www.debt2consolidationloan.com/School_Loan_Consolidation_Beginners_Info.html
http://www.debt2consolidationloan.com/School_Consolidation_Loans_Guide.html
http://www.debt2consolidationloan.com/College_Loan_Consolidation.html
http://www.debt2consolidationloan.com/Student_Loans.html
http://www.lingwellness.com/howmuchmortgagecaniafford.php
http://www.lingwellness.com/floridadwidefense.php
http://www.lingwellness.com/bestmortgageratesrefinancing.php
http://www.lingwellness.com/arkansasrefinancemortgagerates.php
http://www.lingwellness.com/howmuchmortgagecaniafford.php
http://www.lingwellness.com/petdogs.php
http://www.lingwellness.com/transportdogcrates.php
http://www.lingwellness.com/airfilleddogbed.php
http://www.lingwellness.com/dogtransport.php
http://www.lingwellness.com/uniquedogcollars.php
http://www.lingwellness.com/airfilleddogbedyourbestfriendscomfort.php
http://www.lingwellness.com/dogcratetraining.php