Novel Strategies in Therapy of Head and Neck Cancer

Mehrotra, R. and Ibrahim, R. and Eckardt, A. and Driemel, O. and Singh, M. (2011) Novel Strategies in Therapy of Head and Neck Cancer. CURRENT CANCER DRUG TARGETS, 11 (4). pp. 465-478. ISSN 1568-0096

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Abstract

In addition to the currently available conventional therapeutic modalities i.e. chemotherapy, radiotherapy and surgery, there is a desperate need for more effective and less toxic therapies for head and neck malignancies. Chemotherapy alone shows high toxicity and a low survival rate. In some cases, malignant cells develop resistance to a particular drug and to combat this, a variety of approaches like intra-arterial therapy, induction chemotherapy, immunotherapy, photodynamic therapy as well as targeted molecular therapy have recently been employed. Techniques like intra-arterial and induction chemotherapy have showed some improvement in survival rate. Immununotherapy is in the experimental stages while photodynamic therapy is being clinically applied, but because of its side effects it is not very popular. Utilizing specific molecular targets with their inhibitors (like inhibitors of EGFR and VEGF); either alone or in combination with conventional therapy, may improve the survival rate of these patients. Blocking the signaling pathway (P13k/Akt/mTOR), with or without chemotherapy, may also overcome the problem of drug resistance. These modalities hold the promise of being more selective - harming fewer normal cells, reducing side effects and improving the quality of life. The various options and novel strategies currently available to the treating physician are critically examined in this review.

Item Type: Article
Uncontrolled Keywords: SQUAMOUS-CELL CARCINOMA; GROWTH-FACTOR-RECEPTOR; LOCALLY ADVANCED HEAD; SUBEROYLANILIDE HYDROXAMIC ACID; PHASE-II TRIAL; FLUOROURACIL INDUCTION CHEMOTHERAPY; HISTONE DEACETYLASE INHIBITORS; COOPERATIVE-ONCOLOGY-GROUP; PHOTODYNAMIC THERAPY; ORAL-CANCER; Head immunotherapy; malignancy; molecular; neck; photodynamic; chemotherapy
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Mund-, Kiefer- und Gesichtschirurgie
Depositing User: Petra Gürster
Date Deposited: 29 Apr 2020 10:46
Last Modified: 29 Apr 2020 10:46
URI: https://pred.uni-regensburg.de/id/eprint/20857

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