Table 1

Efficacy and toxicity of treatment

Treatment cycle
Effect of treatment on signs and symptoms
Adverse events

Pre-treatment
Pain 9/10*
Facial mass 89 mm
N/A
1
Pain reduction to 2/10* after 7 days, with discontinuation of oral morphine after 4 days
Reduction of facial mass to 70 mm
Grade 2 nausea
2
Labial and periorbital facial oedema reduced
Reduction of facial mass to 40 mm
Grade 2 nausea
Grade 2 neutropenia
Next treatment cycle delayed by one week
3
Pain resolved (0/10)* and pain relief discontinued
Facial oedema resolved
CT scan: partial tumour remission, with marked reduction of retromandibular mass
Grade 2 anaemia
4
No pain relief requirement
Grade 2 anorexia
Grade 2 vomiting
Grade 2 asthenia
Grade 2 mucositis
Grade 3 anaemia (requiring red cell transfusion)
Grade 1 acne-like rash (facial)
Cetuximab maintenance
(7 continuous months of treatment)
No pain relief requirement
Grade 2 mucositis
Grade 2 acne-like rash (painful lesions on the scalp)
Cetuximab discontinued for 3 weeks

*Pain was assessed using a visual pain scale with a range from 0 to 10: the higher the score, the more severe the pain. CT = computed tomography.

Mesía et al. Head & Neck Oncology 2010 2:3   doi:10.1186/1758-3284-2-3

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