PMID- 35641283 OWN - NLM STAT- MEDLINE DCOM- 20220602 LR - 20220602 IS - 1791-7530 (Electronic) IS - 0250-7005 (Linking) VI - 42 IP - 6 DP - 2022 Jun TI - Preoperative S-1 Therapy for Head and Neck Carcinoma During the Waiting Period Before Surgery. PG - 3177-3183 LID - 10.21873/anticanres.15807 [doi] AB - BACKGROUND/AIM: In patients with squamous cell carcinoma of the head and neck (SCCHN), delayed surgery can result in poorer postoperative function and prognosis due to the growth of the tumor and extended surgery. Further, delay may even make the tumor unresectable. To prevent tumor growth during the waiting period before surgery, S-1 has been administrated preoperatively at several facilities in Japan. To date, however, the safety and efficacy of preoperative S-1 remain unclear. PATIENTS AND METHODS: We conducted a retrospective cohort study of 118 patients with SCCHN treated with S-1 before radical surgery at 2 institutions in Japan. We evaluated the safety of S-1 therapy, which was evaluated by the incidence of grade 3 or greater adverse events (AEs). The rate of achievement of non-growth of tumors was also calculated. RESULTS: Regarding safety, 125 AEs of all grades were recorded in 71 patients (60%). Of these, grade 3 AEs were detected in 3 patients (3%), and no grade 4 or 5 AEs occurred. The nongrowth rate of primary lesions and lymph node metastases was 89% and 85%, respectively. CONCLUSION: Preoperative S-1 therapy might be useful, with acceptable toxicity, on an outpatient basis in patients with SCCHN. CI - Copyright (c) 2022 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved. FAU - Matsuki, Takashi AU - Matsuki T AD - Department of Otorhinolaryngology, Head and Neck Surgery, Kitasato University School of Medicine, Sagamihara, Japan; matsuki@med.kitasato-u.ac.jp. AD - Department of Head and Neck Oncology and Surgery, International University of Health and Welfare Mita Hospital, Tokyo, Japan. FAU - Fushimi, Chihiro AU - Fushimi C AD - Department of Head and Neck Oncology and Surgery, International University of Health and Welfare Mita Hospital, Tokyo, Japan. FAU - Miyamoto, Shunsuke AU - Miyamoto S AD - Department of Otorhinolaryngology, Head and Neck Surgery, Kitasato University School of Medicine, Sagamihara, Japan. FAU - Takahashi, Hideaki AU - Takahashi H AD - Department of Otorhinolaryngology, Head and Neck Surgery, Yokohama City University Graduate School of Medical Sciences, Yokohama, Japan. FAU - Masubuchi, Tatsuo AU - Masubuchi T AD - Department of Head and Neck Oncology and Surgery, International University of Health and Welfare Mita Hospital, Tokyo, Japan. FAU - Tada, Yuichiro AU - Tada Y AD - Department of Head and Neck Oncology and Surgery, International University of Health and Welfare Mita Hospital, Tokyo, Japan. FAU - Miura, Kouki AU - Miura K AD - Department of Head and Neck Oncology and Surgery, International University of Health and Welfare Mita Hospital, Tokyo, Japan. FAU - Kamata, Shin-Etsu AU - Kamata SE AD - Department of Head and Neck Oncology and Surgery, International University of Health and Welfare Mita Hospital, Tokyo, Japan. FAU - Kano, Koichi AU - Kano K AD - Department of Otorhinolaryngology, Head and Neck Surgery, Kitasato University School of Medicine, Sagamihara, Japan. FAU - Tsutsumi, Shohei AU - Tsutsumi S AD - Department of Otorhinolaryngology, Head and Neck Surgery, Kitasato University School of Medicine, Sagamihara, Japan. FAU - Momiyama, Kaho AU - Momiyama K AD - Department of Otorhinolaryngology, Head and Neck Surgery, Kitasato University School of Medicine, Sagamihara, Japan. FAU - Yamashita, Taku AU - Yamashita T AD - Department of Otorhinolaryngology, Head and Neck Surgery, Kitasato University School of Medicine, Sagamihara, Japan. LA - eng PT - Journal Article PL - Greece TA - Anticancer Res JT - Anticancer research JID - 8102988 SB - IM MH - *Carcinoma, Squamous Cell/drug therapy/pathology/surgery MH - *Head and Neck Neoplasms/drug therapy/surgery MH - Humans MH - Lymphatic Metastasis MH - Neoadjuvant Therapy MH - Retrospective Studies MH - Squamous Cell Carcinoma of Head and Neck/drug therapy/surgery OTO - NOTNLM OT - Head and neck squamous cell carcinoma OT - S-1 OT - adverse event OT - preoperative chemotherapy OT - surgical case EDAT- 2022/06/01 06:00 MHDA- 2022/06/03 06:00 CRDT- 2022/05/31 21:48 PHST- 2022/04/07 00:00 [received] PHST- 2022/05/05 00:00 [revised] PHST- 2022/05/09 00:00 [accepted] PHST- 2022/05/31 21:48 [entrez] PHST- 2022/06/01 06:00 [pubmed] PHST- 2022/06/03 06:00 [medline] AID - 42/6/3177 [pii] AID - 10.21873/anticanres.15807 [doi] PST - ppublish SO - Anticancer Res. 2022 Jun;42(6):3177-3183. doi: 10.21873/anticanres.15807.