Neoadjuvant immunotherapy in the treatment of squamous cell carcinoma of the head and neck

A.V. Tsapir, Maria Yu. Pitkevich, Aleksej V. Smolin, Vladislav Ju. Kosyrev, A. A. Vologdin
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Abstract

Head and neck tumors are among the ten most common neoplasms both in the world and in Russia [1]. In 64% of cases, squamous cell carcinoma of the head and neck is first diagnosed at the stage of a locally spread process. The emergence of new equipment for radiation therapy, new irradiation techniques such as VMAT, IMRT, better visualization, positioning of the patient and the emergence of new methods of drug treatment have allowed to increase the duration and quality of life of patients. However, even with such treatment approaches, the 5-year overall survival rate is only 50% [11]. The effectiveness of immunotherapy in patients with advanced squamous cell carcinoma of the head and neck and unsatisfactory results of surgical treatment of operable stages have set the ground for active study of neoadjuvant therapy [11]. In the available literature, we found that neoadjuvant immunotherapy for squamous cell carcinoma of the head and neck has already demonstrated its effectiveness in preliminary clinical studies, which makes it a promising direction for further study and implementation in the daily practice of an oncologist
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新辅助免疫疗法治疗头颈部鳞状细胞癌
头颈部肿瘤是世界和俄罗斯最常见的十大肿瘤之一[1]。在64%的病例中,头颈部鳞状细胞癌在局部扩散过程阶段首次被诊断出来。新的放射治疗设备的出现,新的放射技术,如VMAT, IMRT,更好的可视化,患者的定位以及新的药物治疗方法的出现,使得患者的持续时间和生活质量得以增加。然而,即使采用这样的治疗方法,5年总生存率也只有50%[11]。免疫治疗在晚期头颈部鳞状细胞癌患者中的有效性和可手术期手术治疗的不理想结果为新辅助治疗的积极研究奠定了基础[11]。在现有文献中,我们发现头颈部鳞状细胞癌的新辅助免疫治疗已经在初步临床研究中证明了其有效性,这是肿瘤学家在日常实践中进一步研究和实施的一个有希望的方向
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