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

ADVANCED STAGE NECK DISEASE

ADVANCED NECK DISEASE EXTRACAPSULAR SPREAD

NOT CLEAR WHAT IS THE OPTIMAL THERAPY…

SURGERY WITH POSTOPERATIVE RT VS

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

(CHEMO) RADIOTHERAPY FOLLOWED BY NECK DISSECTION ONLY IN THOSE PATIENTS WHO DO NOT ACHIEVE A COMPLETE CLINICAL OR METABOLIC PET RESPONSE TO IRRADIATION

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

Shumann, J Cranio Max Fac Surg 2015

mercoledì 29 giugno 16