Analysis of thromboembolic events in head and neck cancer patients who underwent concurrent chemoradiotherapy with cisplatin

Korean J Intern Med. 2022 May;37(3):653-659. doi: 10.3904/kjim.2021.309. Epub 2022 Apr 20.

Abstract

Background/aims: The study investigated the incidence of thromboembolic events (TEE) in head and neck (H&N) cancer patients who received concurrent chemoradiotherapy (CCRT) with cisplatin, and analyzed the factors affecting TEE occurrence.

Methods: Two hundred and fifty-seven patients who started CCRT with cisplatin for H&N cancer from January 2005 to December 2019 were analyzed.

Results: TEE occurred in five patients, an incidence rate of 1.9%. The 2-, 4-, and 6-month cumulative incidences of TEE were 0.8%, 1.6%, and 1.9%, respectively. Khorana score was the only factor associated with TEE occurrence (p = 0.010).

Conclusion: The incidence of TEE in H&N cancer patients who underwent CCRT with cisplatin was relatively low when compared to other types of cancer. However, patients with a high Khorana score require more careful surveillance for possible TEE occurrence.

Keywords: Chemoradiotherapy; Cisplatin; Head and neck neoplasms; Khorana score.

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / adverse effects
  • Chemoradiotherapy / adverse effects
  • Cisplatin* / adverse effects
  • Head and Neck Neoplasms* / therapy
  • Humans
  • Incidence

Substances

  • Cisplatin