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Paticipant has a nwly diagnosd, histologically conimd, stag I-IV squamous cll cacinoma squamous cll cacinoma in situ th oal cavity oophaynx and will b undgoing dinitiv sugical, adiothapy, chmoadiation tatmnt; patints wha NOT candidats localizd tatmnt (sugy, adiation chmoadiation) with cuativ intnt (i..patints with distant mtastasis conta-indication tlocalizd tatmnt) a not ligibl O Paticipant has a lsion in th oal cavity oophaynx that is not yt biopsid but is highly suspicious canc; (andomization will b placd on hold until th psnc canc is histologically conimd, and a tatmnt plan is stablishd; i th psnc canc is not conimd, th paticipant will b considd a scn ailu)

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therefore, avoid use of actoplus met in patients with clinical or laboratory evidence of hepatic disease.

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