Head and neck NUT carcinoma-radiotherapy dose, chemotherapy choice, and outcomes: lessons from a 7-year complete remission.
Lara Schulz, Matthias Zähringer, Klaus-Henning Kahl et al.
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Case in brief
A 19-year-old male with locally advanced supraglottic NUT carcinoma presented with dysphagia and otalgia. After laser debulking and temporary tracheostomy, he received induction chemotherapy with cisplatin, doxorubicin, and ifosfamide, achieving a complete metabolic response. He then underwent definitive intensity-modulated radiotherapy (IMRT) to 73.2 Gy. Following consolidation chemotherapy, he has maintained complete remission for over 7 years, though he experiences persistent xerostomia and dysgeusia.
Diagnostic / clinical pearl
Timely multimodal treatment, including systemic therapy and definitive radiotherapy exceeding 50 Gy, can lead to durable remission in non-metastatic head and neck NUT carcinoma.