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June 3, 2026Strahlentherapie und Onkologie0 citationsOpen Access

Head and neck NUT carcinoma—radiotherapy dose, chemotherapy choice, and outcomes: lessons from a 7-year complete remission

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LSLara SchulzMZM ZähringerKKKlaus-Henning Kahl

Key Points

  • This review aims to analyze treatment strategies for head and neck NUT carcinoma, focusing on radiotherapy dose and chemotherapy regimens.
  • Structured narrative review of existing literature on H&N NUT carcinoma
  • Analysis of radiotherapy dose concepts and chemotherapy regimens
  • Assessment of outcome signals from published evidence
  • Overall survival remains poor, especially in metastatic cases
  • Long-term remission achieved in selected non-metastatic patients via multimodal therapy
  • Use of definitive-dose radiotherapy associated with improved outcomes

Abstract

BACKGROUND: NUT carcinoma (NUTc) is a rare, aggressive squamous carcinoma defined by NUTM1 rearrangements. Outcomes in head and neck (H available evidence largely derives from case reports and small series. METHODS: We performed a structured narrative review of H ≥ 8-hour interval). Acute toxicity was grade 3 dermatitis and grade 2 mucositis (CTCAE v5.0). After RT, chemotherapy was continued as consolidation and completed with vincristine/doxorubicin/ifosfamide (six cycles) due to acute kidney injury. Complete remission is ongoing at > 7 years, with persistent xerostomia and dysgeusia. CONCLUSION: In selected non-metastatic H&N NUTc, durable control has been reported with timely systemic therapy plus curative-intent RT, often exceeding 50 Gy. This review summarizes dose concepts and case-based systemic regimens and provides a comparative table to support individualized treatment planning.

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Cite This Study

Schulz et al. (2026) studied this question.

synapsesocial.com/papers/6a1fc5d7dee9eb8c0dce736bhttps://doi.org/10.1007/s00066-026-02552-x
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