Abstract
Overall survival rates for patients with advanced head and neck cancer remain dismal despite intensive combined modality treatment approches using surgery, radiation therapy and chemotherapy. It is well established that single modality treatment strategies employing surgery or radiation therapy for small, locally confined tumors achieve 5-year survival rates of 70–90%. However, in patients with extensive primary tumors or regional metastases, the 5-year survival rates range from 0–60%. These generally poor results have not been significantly improved by intensive combinations of surgery and radiation. This has been attributed to failures in the control or prevention of distant metastases despite occasional reductions in local recurrence rates and prolongation of disease free interval.
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References
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Wolf, G.T. (1984). Tumor immunology, immune surveillance and immunotherapy of head and neck squamous carcinoma. In: Wolf, G.T. (eds) Head and Neck Oncology. Cancer Treatment and Research, vol 22. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-3816-1_16
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