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Nasopharyngeal carcinoma in children and young adults—Beyond 5‐year survival
Authors:Tal Ben‐Ami  Shifra Ash  Miri Ben‐Harosh  Herzel Gavriel  Michael Weintraub  Shoshana Revel‐Vilk  Myriam Ben‐Arush
Abstract:Nasopharyngeal carcinoma (NPC) is a rare and locally aggressive form of childhood cancer. Treatment of NPC includes chemotherapy and radiotherapy. With current treatment protocols, survival rates for patients with nonmetastatic disease is over 80%. Data regarding very late events including long‐term treatment‐related morbidities and second malignancies are scarce. We present our data on 42 patients with NPC treated in Israel between 1989 and 2014, and followed until 2019. During follow up, five patients had disease recurrence, and four children developed secondary malignancy. Median time to diagnosis of secondary malignancy was 105 months. Eighty‐eight percent of patients have long‐term treatment‐related morbidities.
Keywords:late toxicities  long‐term follow up  nasopharyngeal carcinoma  second malignancies
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