2016_Head & Neck COURSE BOOK

THERAPEUTIC OPTIONS

MOST OF THE GUIDELINES ON CUP TREATMENT ARE BASED ON DATA AND CONCEPTS DERIVING FROM THE EXPERIENCE IN THE MANAGEMENT OF NECK METASTASIS IN THE PRESENCE OF A PRIMARY TUMOR

EARLY STAGE NECK DISEASE

ADVANCED STAGE NECK DISEASE

IN LOW-VOLUME NECK DISEASE ( N1 AND EARLY N2A) WITHOUT EXTRACAPSULAR SPREAD (ECS)

ADVANCED NECK DISEASE EXTRACAPSULAR SPREAD

A COMBINED TREATMENT IS STRONGLY RECOMMENDED: IN SOME SERIES OMISSION OF RADIOTHERAPY RESULTS IN 75% OF RECURRENCE

EXCELLENT REGIONAL CONTROL WITH EITHER SURGERY OR RT ALONE

AN IMPROVEMENT RANGING FROM 67.3% TO 93% FOR NECK CONTROL AND FROM 40.9% TO 78.9% FOR OVERALL SURVIVAL AT 5 YEARS IS EXPECTED

NECK LEVELS DISSECTION AS APPROPRIATE OR RT OF THE INVOLVED NECK.

mercoledì 29 giugno 16