Japanese Journal of Oral and Maxillofacial Surgery
Online ISSN : 2186-1579
Print ISSN : 0021-5163
ISSN-L : 0021-5163
Clinical experience with induction chemotherapy with TPP (THP-ADM, CDDP, PEP), TPF (THP-ADM, CDDP, 5-FU) and docetaxel for oral squamous cell carcinomas
Akiyoshi GOTOHMutsuhiko MURAITakayuki OHSAWAKazuma MASUMOTOMichio SHIKIMORIKenji HASHIMOTO
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2002 Volume 48 Issue 8 Pages 386-389

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Abstract

We designed chemotherapeutic regimens combining docetaxel (TXT) and TPP (THP-ADM, CDDP, PEP) or TXT and TPF (THP-ADM, CDDP, 5 FU) for the treatment of oral squamous cell carcinomasand evaluated their primary effects. Nine patients were treated. Forty milligrams of TXT per squaremeter was administered on day 2 intravenously. The patients were 6 men and 2 women 43 to 55 years ofage (mean age, 50) years at presentation. The primary site was the tongue in 6 patients and themandibular gingiva in 2. TNM classification was T 2 in 4 patients, T 3 in 2, T 4 in 2, and N 2 b in 2.All cases were M O.
The response rate with a combination of TXT and TPP was 100%(CR 50%, PR 50%) and that with acombination of TXT and TPF was also 100%(CR 50%, PR 50%). Among the 5 patients who additionallyreceived surgery, the Ohboshi & Shimozato classification was II B in 3 and N B in 2.
The main side effects were febrile neutropenia, anorexia, and stomatitis, but there was no effect on subsequenttreatment.
We conclude that our chemotherapeutic regimens are effective against oral squamous cell carcinoma.

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© Japanese Society of Oral and Maxillofacial Surgeons
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