Title
Chemoradiotherapy Followed by Surgery for Advanced Paranasal Sinus Cancer
Preoperative Radiotherapy and Concomitant Chemotherapy Followed by Surgery for Advanced Paranasal Sinus Carcinoma
Phase
N/ALead Sponsor
University of TennesseeStudy Type
InterventionalStatus
WithdrawnIndication/Condition
Paranasal Sinus NeoplasmsIntervention/Treatment
cisplatin ...Study Participants
60The purpose of this study is to determine the efficacy of concurrent chemotherapy and radiotherapy pre-operatively in patients with advanced paranasal sinus cancer. The main objectives of this study are: 1) to measure the rate of complete response to preoperative chemoradiation and 2) to study the efficacy of combining preoperative chemoradiation and surgery in terms of local control of the cancer two years post treatment.
Inclusion Criteria: Karnofsky Performance Score: >= 60 Creatinin clearance >= 50 ml/min or serum creatinine =<1.5 mg/dl Total bilirubin, AST, ALT =< 1.5 X laboratory uln ANC >= 2000/mm3, platelets >= 100,000/mm3 Serum calcium within normal range T3 or T4 state tumors of paranasal sinuses Squamous cell carcinoma, adenocarcinoma, high-grade mucoepidermoid carcinoma, sinonasal undifferentiated carcinoma Exclusion Criteria: History of other malignancy in the last 3 years Other serious comorbidity that may significantly reduce the survival in next 5 years Pregnant or lactating women History of radiation to the head and neck region Paranasal sinus tumor is recurrent after prior treatment Presence of cervical node metastasis Presence of distant metastasis Advanced nasopharyngeal malignancy with sphenoid or posterior ethmoid invasion