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Novel treatment (new drug/intervention; established drug/procedure in new situation)
Advanced and rapidly progressing head and neck cancer: good palliation following intralesional bleomycin
  1. Keith Ian Quintyne1,
  2. Shirley Baker1,
  3. Fintan Wallis2,
  4. Neville Shine3,
  5. Rajnish Gupta1
  1. 1Department of Medical Oncology, Mid-Western Regional Hospital, Limerick, Ireland
  2. 2Department of Radiology, Mid-Western Regional Hospital, Limerick, Ireland
  3. 3ENT Department, Mid-Western Regional Hospital, Limerick, Ireland
  1. Correspondence to Dr Keith Ian Quintyne, keithi.quintyne{at}


The authors herein report the case of a 61-year-old man undergoing adjuvant therapy for locally advanced laryngeal cancer, who developed parastomal recurrence in his radiation field around his tracheotomy site, while he was undergoing radiation therapy, and compromised the secure placement of his tracheotomy tube and maintenance of his upper airway. MRI restaging and biopsy confirmed recurrence and progressive disease in his mediastinum. He underwent local therapy with intralesional bleomycin with good palliation, and ability to maintain the patency of his upper airway.

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  • Competing interests None.

  • Patient consent Obtained.

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