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Table 4 Acute toxicities in high-risk oral cavity cancer patients treated with postoperative helical tomotherapy (HT, image-guided radiotherapy, IGRT) and intensity-modulated radiotherapy (IMRT, non- image-guided radiotherapy, non-IGRT) with or without concurrent chemoradiation therapy (CCRT)

From: Impact of postoperative daily image-guided intensity-modulated radiotherapy on overall and local progression-free survival in patients with oral cavity cancer

bToxicity

IMRT (non-IGRT) (No. = 79)

HT (IGRT) (No. = 73)

P value

 

No. of patients (%)

 

aXerostomia (Acute)

   

Gr.1

54 (68.4 %)

54 (74.0 %)

0.445

Gr.2

25 (31.6 %)

19 (26.0 %)

Gr.3

0

0

Gr.4

0

0

Gr.5

0

0

Mucositis

   

Gr.1

7 (8.9 %)

4 (5.5 %)

0.627

Gr.2

49 (62.0 %)

44 (60.3 %)

 

Gr.3

23 (29.1 %)

25 (34.2 %)

 

Gr.4

0

0

 

Gr.5

0

0

 

Dermatitis

   

Gr.1

33 (41.8 %)

33 (45.2 %)

0.180

Gr.2

30 (47.6 %)

33 (45.2 %)

 

Gr.3

16 (20.3 %)

7 (9.6 %)

 

Gr.4

0

0

 

Gr.5

0

0

 

Body weight loss

   

Gr.1

51 (64.6 %)

62 (84.9 %)

0.004

Gr.2

27 (34.2 %)

11 (15.1 %)

 

Gr.3

1 (1.3 %)

0

 

Gr.4

0

0

 

Gr.5

0

0

 

Dysphagia

   

Gr.1

53 (67.1 %)

55 (75.3 %)

0.472

Gr.2

11 (13.9 %)

9 (12.3 %)

 

Gr.3

15 (19.0 %)

9 (12.3 %)

 

Gr.4

0

0

 

Gr.5

0

0

 

Fistula formation or superficial cases of skin dehiscence

   

Yes

1 (1.3 %)

3 (4.1 %)

0.351

No

78 (98.7 %)

70 (95.9 %)

Anemia

   

Normal

11 (13.9 %)

15 (20.5 %)

0.507

Gr.1

58 (73.4 %)

51 (69.9 %)

 

Gr.2

10(12.7 %)

7 (9.6 %)

 

Gr.3

0

0

 

Gr.4

0

0

 

Gr.5

0

0

 

Leucopenia

   

Normal

14 (17.7 %)

24 (32.9 %)

0.007

Gr.1

49 (62.0 %)

25 (34.2 %)

 

Gr.2

9 (11.4 %)

17 (23.3 %)

 

Gr.3

5 (6.3 %)

6 (8.2 %)

 

Gr.4

2 (2.5 %)

1 (1.4 %)

 

Gr.5

0

0

 

Thrombocytopenia

   

Normal

15 (19.0 %)

31 (42.5 %)

0.003

Gr.1

59 (74.7 %)

41 (56.2 %)

 

Gr.2

3 (3.8 %)

1 (1.4 %)

 

Gr.3

2 (2.5 %)

0

 

Gr.4

0

0

 

Gr.5

0

0

 
  1. aAcute xelostomia: Acute toxicity is defined as occurring < 90 days after beginning RT
  2. bToxicity grade was determined according to the Common Terminology Criteria for Adverse Events v3.0 (CTCAE v3.0)