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Larynx Preservation Trial of Sequential vs Alternating Therapy
Induction chemotherapy followed by radiation therapy, and concomitant chemotherapy and radiation therapy both appear to be valuable alternatives to total laryngectomy in patients with advanced cancers of the larynx or hypotharynx. Lefebvre et al (p. 142) report the results of a phase III randomized trial in which these regimens were compared in patients with advanced larynx or hypotharynx cancer.
They found that larynx preservation, the progression-free interval, overall survival, and acute and late toxic effects were all similar in the two groups, including late severe edema and/or fibrosis among patients in both arms and grade
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J Natl Cancer Inst 2009 101: 205-209.
J Natl Cancer Inst 2009 101: 142-152.
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J Natl Cancer Inst 2009 101: 176-193.
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J Natl Cancer Inst 2009 101: 129-131.