The addition of chemotherapy to adjuvant radiation is associated with inferior survival outcomes in intermediate-risk HPV-negative HNSCC.
Jason TasoulasNicholas R LenzeDouglas FarquharTravis P SchrankColette ShenM Ali ShazibBart SingerShetal PatelJuneko E Grilley OlsonDavid N HayesMargaret L GulleyBhishamjit S CheraTrevor HackmanAndrew F OlshanJared WeissSiddharth H ShethPublished in: Cancer medicine (2021)
In high-risk patients, adjuvant chemoradiotherapy improved OS compared to RT alone. The greatest benefit was in node-positive cases. In intermediate-risk patients, the addition of chemotherapy to RT increased mortality risk and therefore should only be used cautiously in these patients.