Abstract
The use of aggressive, combined modality cancer treatment has made a positive impact in the management of several human malignancies. Unfortunately, despite this aggressive approach, many tumors are not controlled, and inevitable questions arise concerning the optimal use of combined modality therapy. A particularly difficult issue is that of determining the optimal timing sequence of each modality. For example, it is known that certain chemotherapy drugs can interact with radiation such that the radiation effects are enhanced. Depending upon the particular drugs used, the enhancement might be maximal if both the radiation and drugs were given simultaneously. Such an approach might be desirable if the effects were restricted to the tumor. Unfortunately, disastrous, unwanted normal tissue responses can result from such a combination. Indeed, an overwhelming number of permutations can be envisioned when combining multiple-agent chemotherapy and radiation therapy with respect to timing, notwithstanding the possible differences in response of tumor versus normal tissues to such combinations.
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Mitchell, J.B., Russo, A., Cook, J.A., Glatstein, E. (1989). Tumor cell drug and radiation resistance: Does an interrelationship exist?. In: Ozols, R.F. (eds) Drug Resistance in Cancer Therapy. Cancer Treatment and Research, vol 48. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-1601-5_12
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DOI: https://doi.org/10.1007/978-1-4613-1601-5_12
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