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Head neck cancer guidelines

Joseph Scharpf, Michael Tuttle, Richard Wong, Drew Ridge, Russell Smith, Dana Hartl, Robert Levine, Gregory Randolph
This American Head and Neck Society (AHNS) consensus statement focuses on the detection and management of recurrent thyroid cancer. This document describes the radiologic approach to defining structural recurrent disease and the operative and nonoperative rationale in addressing identified structural disease to create equipoise in the personalized treatment strategy for the patient. The recommendations of this AHNS multidisciplinary consensus panel of the American Head and Neck Society are intended to help guide all multidisciplinary clinicians who diagnose or manage adult patients with thyroid cancer...
September 22, 2016: Head & Neck
Max Robinson
The pathology laboratory has a central role in providing human papillomavirus (HPV) tests for patients with head and neck cancer. There is an extensive literature around HPV testing and a large number of proprietary HPV tests, which makes the field difficult to navigate. This review provides a concise contemporary overview of the evidence around HPV testing in head and neck cancer and signposts key publications, guideline documents and the most commonly used methods in clinical practice.
2017: Recent Results in Cancer Research
Ulrich Kisser, Christine Adderson-Kisser, Michaela Coenen, Marita Stier-Jarmer, Sven Becker, Carla Sabariego, Ulrich Harréus
The assessment and evaluation of functioning and quality of life after tumor treatment in head and neck cancer (HNC) are considered as essential aspects of clinical routine and studies. A huge number of instruments are available that have been designed to evaluate functioning and quality of life after HNC treatment. The diversity of these instruments in terms of content, response options and administration hinders the comparability of available studies and the performance of meta-analyses. The objective of this paper is to inform about the development of a screening tool for the standardized assessment and evaluation of functioning based on the International Classification of Functioning, Disability and Health (ICF) Core Set for HNC...
September 30, 2016: European Archives of Oto-rhino-laryngology
Vasu Divi, Li Tao, Alice Whittemore, Ingrid Oakley-Girvan
BACKGROUND: Advanced head and neck cancer (HNC) is a complex group of diseases that requires the input and coordination of multiple providers. While there are general guidelines for treatment, there is also considerable variation in how patients are treated, and how long they survive after treatment. It is unclear how the treatment variations relate to treatment costs and survival. METHODS: We identified 3678 Medicare patients with advanced HNC treated in 12 US regions between 2004 and 2009 using the linked database containing Medicare and Surveillance Epidemiology and End Results (SEER) data...
October 2016: Oral Oncology
James A Chancellor, Sally J Ioannides, James M Elwood
OBJECTIVES: This systematic review identified and evaluated the evidence for the role of sexual behaviours in the development of oropharyngeal cancers (OPCs) and oral cavity cancers (OCCs). METHODS: Following the PRISMA guidelines, we identified observational and interventional studies reporting associations between several different sexual behaviours and OPC or OCC. Study quality was assessed independently by two reviewers using a validated scoring system. RESULTS: From 513 papers identified, 21, reporting on 20 studies, fulfilled the inclusion criteria...
September 19, 2016: Community Dentistry and Oral Epidemiology
Richard B Cannon, Justin C Sowder, Luke O Buchmann, Jason P Hunt, Ying J Hitchcock, Shane Lloyd, Kenneth F Grossman, Marcus M Monroe
BACKGROUND: National guidelines support surgical-based treatment and offer nonsurgical therapy as an alternative for advanced-stage oral cavity squamous cell carcinoma (SCC). There are limited data evaluating current utilization of these therapies and their survival outcomes. METHODS: A total of 5856 patients were found in the Surveillance, Epidemiology, and End Results (SEER) database from 1988 to 2008 with resectable advanced-stage oral cavity SCC tumors. Outcomes were disease-specific survival (DSS) and overall survival (OS)...
September 19, 2016: Head & Neck
J Mackenzie, G Graham, I A Olivotto
AIMS: The Canadian Partnership for Quality Radiotherapy quality assurance guidelines recommend that radiation oncologist peer review of curative radiotherapy plans takes place ideally before the first fraction of treatment is delivered. This study documented and evaluated the outcomes of weekly, disease site-specific, radiotherapy peer review, quality assurance rounds at the Tom Baker Cancer Centre in Calgary, Canada with a view to making recommendations about the optimal timing and documentation of peer review during the radiotherapy planning processes...
September 12, 2016: Clinical Oncology: a Journal of the Royal College of Radiologists
Anne Randorff Højen, Dorthe Brønnum, Kirstine Rosenbeck Gøeg, Pia Britt Elberg
This paper presents an analysis of the extent to which SNOMED CT is suitable for representing data within the domain of head and neck cancer. In this analysis we assess whether the concept model of SNOMED CT comply with the documentation needed within this clinical domain. Attributes from the follow-up template of the clinical quality registry for Danish Head and Neck Cancer, and their respective value sets were mapped to SNOMED CT using existing mapping guidelines. Results show that post-coordination is important to represent specific types of value sets, such as absence of findings and severities...
2016: Studies in Health Technology and Informatics
Chiara Bianchini, Andrea Ciorba, Claudia Aimoni, Virginia Corazzi, Ruggero Ronchin, Francesco Stomeo, Giovanni Scanelli
PURPOSE: Cancer patients with significant comorbidities undergoing major surgical intervention are at high risk for peri/postoperative complications and a prolonged hospital stay. Diabetes mellitus is a prevalent chronic metabolic disease, reported to affect surgery outcomes of malignancies. The purpose of this article was to evaluate the impact of diabetes mellitus on the development of local and systemic complications as well as the length of the hospital stay, after major surgery for Head and Neck (H&N) cancer...
May 2016: Journal of B.U.ON.: Official Journal of the Balkan Union of Oncology
Lise-Marie Roussel, Emmanuel Micault, Damien Peyronnet, David Blanchard, Séverine Guarnieri, Olivier Choussy, Bernard Géry, Arnaud Béquignon, Corinne Joubert, Jean-Jacques Parienti, Emmanuel Babin
Nutritional care improves quality of life (QOL) in head and neck cancer patients treated with radiotherapy. The aim of our study was to determine whether intensive nutritional care (INC) would further improve QOL. In addition to a control group based on European and American guidelines, patients included in the INC group received six meetings with a dietitian. QOL was measured after radiotherapy using the EORTC QLQ-C30. We performed a meta-analysis to determine the best nutritional care. In the 87 patients, the QOL scores, weight, energy, and protein intakes were similar between the INC group (n = 43) and the control group (n = 44)...
August 27, 2016: European Archives of Oto-rhino-laryngology
Pedro Nazareth Aguiar, Hakaru Tadokoro, Gislaine Fernandes da Silva, Mayndra Mychelle Landgraf, Carmelia Maria Noia Barreto, Bruno Andraus Filardi, Gilberto de Lima Lopes, Pedro Oliveira, Ramon Andrade de Mello
AIM: Concomitant chemoradiotherapy (with cisplatin or carboplatin) is an option of definitive treatment for squamous head and neck cancer. We aimed to perform a meta-analysis comparing those two platinum agents. MATERIALS & METHODS: We carried out a systematic search on English literature between 1990 and 17 April 2015 according to the Cochrane review guidelines. RESULTS: Five of 60 studies fulfilled inclusion criteria with 491 patients. There was no difference in response rate...
August 23, 2016: Future Oncology
Emilie Garnaes, Kirsten Frederiksen, Katalin Kiss, Luise Andersen, Marianne H Therkildsen, Maria B Franzmann, Lena Specht, Elo Andersen, Bodil Norrild, Susanne K Kjaer, Christian von Buchwald
The aim was to explore the overall survival (OS) for palatine tonsillar squamous cell carcinoma (TSCC), subdivided, according to certainty of tonsillar tumour origin, into specified tonsillar squamous cell carcinomas (STSCCs) and nonspecified tonsillar squamous cell carcinomas (NSTSCCs), and base of tongue squamous cell carcinoma (BSCC) when stratifying for HPV DNA status, p16 expression and combined HPV/p16 status. We included all patients (n = 797) diagnosed with TSCCs and BSCCs in Eastern Denmark as registered in the Danish Head and Neck Cancer Group (DAHANCA) database and the Danish Pathology Databank, 2000-2010...
December 1, 2016: International Journal of Cancer. Journal International du Cancer
Brian B Hughley, Steven M Sperry, Timothy A Thomsen, Mary E Charlton, Nitin A Pagedar
BACKGROUND: This study is an evaluation of survival in patients with upper aerodigestive tract (UADT) cancer who did not receive guideline-directed therapy. METHODS: The National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) database was examined to identify patients with invasive cancer of the UADT. Patients were classified as "untreated" if they received neither surgery nor radiotherapy. Kaplan-Meier observed survival estimates were computed and stage-specific actuarial estimates of relative survival were computed...
August 10, 2016: Head & Neck
Dechen Wangmo Tshering Vogel, Harriet C Thoeny
Cancer of the head and neck is the sixth most frequent cancer worldwide and associated with significant morbidity. The head and neck area is complex and divided into various anatomical and functional subunits. Imaging is performed by cross-sectional modalities like computed tomography, magnetic resonance imaging, ultrasound and positron emission tomography-computed tomography, usually with fluorine-18-deoxy-D-glucose. Therefore, knowledge of the cross-sectional anatomy is very important. This article seeks to give an overview of the various cross-sectional imaging modalities used in the evaluation of head and neck cancers...
2016: Cancer Imaging: the Official Publication of the International Cancer Imaging Society
M Reich, L Licitra, J B Vermorken, J Bernier, S Parmar, W Golusinski, X Castellsagué, C R Leemans
Over the past three decades, oral human papillomavirus (HPV) has been associated with an increase in the incidence of oropharyngeal squamous cell carcinoma (OPSCC) in several countries. Specialist oncologists in head and neck cancer are observing a wider range of demographics, sexual behaviours, and survival outcomes with their patients. Additionally, there are fewer smokers, consumers of alcohol, or people of lower socioeconomic status than in previous decades. In order to support patients, the European Head and Neck Society's Make Sense Campaign aims to promote best practice in the management of head and neck cancer through the delivery of counselling, psychological assessment, support with the patient experience following HPV-related cancer diagnosis, sexual impact (in terms of communication, behaviour and prevention), facilitating access to educational resources about HPV in head and neck squamous cell carcinoma and OPSCC, and early referral if necessary...
October 2016: Annals of Oncology: Official Journal of the European Society for Medical Oncology
Alison B Durham, Lori Lowe, Kelly M Malloy, Jonathan B McHugh, Carol R Bradford, Heather Chubb, Timothy M Johnson, Scott A McLean
Importance: Metastasis of cutaneous squamous cell carcinoma (SCC) to the nodal basin is associated with a poor prognosis. The role of sentinel lymph node biopsy (SLNB) for regional staging in patients diagnosed with SCC is unclear. Objective: To evaluate a single institution's experience with use of SLNB for regional staging of SCC on the head and neck. Design, Setting, and Participants: A retrospective review of 53 patients who were diagnosed with SCC on the head and neck, at high risk for nodal metastasis based on National Comprehensive Cancer Network (NCCN) risk factors, and treated with wide local excision (WLE) and SLNB from December 1, 2010, through January 30, 2015, in a single academic referral center was performed...
July 20, 2016: JAMA Otolaryngology—Head & Neck Surgery
Evan M Graboyes, Melanie E Townsend, Dorina Kallogjeri, Jay F Piccirillo, Brian Nussenbaum
Importance: Quality metrics for patients with laryngeal squamous cell carcinoma (SCC) exist, but whether compliance with these metrics correlates with improved survival is unknown. Objective: To examine whether compliance with proposed quality metrics is associated with improved survival in patients with laryngeal SCC treated with surgery with or without adjuvant therapy. Design, Setting, and Participants: This retrospective cohort study included patients from a tertiary care academic medical center who had previously untreated laryngeal SCC and underwent surgery with or without adjuvant therapy from January 1, 2003, through December 31, 2012...
July 19, 2016: JAMA Otolaryngology—Head & Neck Surgery
Lisa Licitra, Ulrich Keilholz, Makoto Tahara, Jin-Ching Lin, Pauline Chomette, Philippe Ceruse, Kevin Harrington, Ricard Mesia
Given the complexities of multimodality treatment for patients with head and neck cancer, the rationale for the use of multidisciplinary teams (MDTs) to define individual optimal treatment strategies on a per-patient basis is apparent. Increased use of guideline-directed approaches, reduced time to treatment and improved outcomes, which result from use of an MDT approach in head and neck cancer, have been documented. A discussion of these recent advances, as well as presentation of available country-specific guidance on the roles and responsibilities of team members, supports the creation of similar local-language recommendations for the treatment of patients with head and neck cancer...
August 2016: Oral Oncology
(no author information available yet)
No abstract text is available yet for this article.
July 2016: CA: a Cancer Journal for Clinicians
Estelle Guerdoux-Ninot, Robert D Kilgour, Chloé Janiszewski, Marta Jarlier, Jocelyne Meuric, Brigitte Poirée, Solange Buzzo, Grégory Ninot, Julie Courraud, Wendy Wismer, Simon Thezenas, Pierre Senesse
PURPOSE: The present study examined patient self-reports of descriptions, experiences and consequences of meal disturbances and food preferences within a cultural context (i.e., French meal traditions) in various treated cancer patients along their disease trajectory. METHODS: Over 800 questionnaires were sent to 20 cancer treatment centres in France. During a 9-month period, 255 questionnaires were received from five centres. Inclusion criteria included those French patients over 18 years of age, could read and understand French, had an Eastern Cooperative Oncology Group score between 0 and 2, experienced treatment-induced nutrition changes and/or had decreased oral intake...
2016: SpringerPlus
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