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__NOTOC__
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{{Hypopharyngeal cancer}}
{{Hypopharyngeal cancer}}
{{CMG}} {{AE}}{{Faizan}}
{{CMG}}; {{AE}} {{G.D.}}, {{Faizan}}
==Overview==
==Overview==
Secondary prevention measures of hypopharyngeal cancer include routine physical examination and imaging at scheduled intervals after treatment. Dental screening and screening for thyroid cancers are recommended among patients who had received radiation therapy to the oral cavity and cervical region, respectively.<ref name="pmid23946171">{{cite journal| author=Pfister DG, Ang KK, Brizel DM, Burtness BA, Busse PM, Caudell JJ et al.| title=Head and neck cancers, version 2.2013. Featured updates to the NCCN guidelines. | journal=J Natl Compr Canc Netw | year= 2013 | volume= 11 | issue= 8 | pages= 917-23 | pmid=23946171 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23946171  }} </ref>
Secondary [[prevention]] measures of hypopharyngeal cancer include routine [[physical]] [[examination]] of [[head]] and [[neck]] and [[thyroid]] [[Screening]] are recommended among the patients who had received [[radiation therapy]] to the [[head]] and [[neck]] regions.


==Secondary Prevention==
==Secondary Prevention==
===Follow up after treatment===
===Follow up after treatment===
Patients treated for hypopharyngeal carcinoma should follow-up for secondary prevention. Follow-up measures are shown in the table below:<ref name="pmid23946171">{{cite journal| author=Pfister DG, Ang KK, Brizel DM, Burtness BA, Busse PM, Caudell JJ et al.| title=Head and neck cancers, version 2.2013. Featured updates to the NCCN guidelines. | journal=J Natl Compr Canc Netw | year= 2013 | volume= 11 | issue= 8 | pages= 917-23 | pmid=23946171 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23946171  }} </ref>
Patients treated for hypopharyngeal carcinoma should follow-up with the following:<ref name="urlHypopharyngeal Cancer Treatment (PDQ®)—Health Professional Version - National Cancer Institute">{{cite web |url=https://www.cancer.gov/types/head-and-neck/hp/adult/hypopharyngeal-treatment-pdq#cit/section_4.14 |title=Hypopharyngeal Cancer Treatment (PDQ®)—Health Professional Version - National Cancer Institute |format= |work= |accessdate=}}</ref>
 
*Thyroid function test to rule out hypothyroidism in patients who were exposed to a high beam of radiation therapy.
{| style="border: 0px; font-size: 90%; margin: 3px; width: 600px" align=center
*Head and neck examination after the treatment in the following orders:
|valign=top|
**Every month for the first year.
|+
**Every two months for the second year.
! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Follow up}}
**Every three months for the third year.
! style="background: #4479BA; width: 400px;" | {{fontcolor|#FFF|Description}}
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |
:Physical exam
| style="padding: 5px 5px; background: #F5F5F5;" |
*Every 1-3 months during the 1st year after treatment
*Every 2-6 months during the 2nd year after treatment
*Every 4-8 months between the 3rd and 5th years after treatment
*Annually thereafter
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |
:Nasendoscopy
| style="padding: 5px 5px; background: #F5F5F5;" |
*Immediately following radiation therapy
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |
:CT Scan/MRI
| style="padding: 5px 5px; background: #F5F5F5;" |
Imaging studies are performed at routine intervals as follows:
*Baseline scanning is performed at 3-6 months after treatment, further scans are scheduled based on finding of physical exam and symptoms experienced by the patient
*Scanning for asymptomatic patients is not recommended
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |
:Thyroid hormone testing
| style="padding: 5px 5px; background: #F5F5F5;" |
*Thyroid stimulating hormone testing every 12 months if the neck was exposed to radiation
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |
:Dental screening
| style="padding: 5px 5px; background: #F5F5F5;" |
*Only recommended if oral cavity was exposed to radiation
|-
|}
<sup>Table adapted from Pfister DG, et al. Head and neck cancers, version 2.2013. Featured updates to the NCCN guidelines. J Natl Compr Canc Netw. 2013;11(8):917-23.<ref name="pmid23946171">{{cite journal| author=Pfister DG, Ang KK, Brizel DM, Burtness BA, Busse PM, Caudell JJ et al.| title=Head and neck cancers, version 2.2013. Featured updates to the NCCN guidelines. | journal=J Natl Compr Canc Netw | year= 2013 | volume= 11 | issue= 8 | pages= 917-23 | pmid=23946171 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23946171  }} </ref></sup>


==References==
==References==
{{reflist|2}}
{{reflist|2}}


{{WH}}
{{WS}}


[[Category:Types of cancer]]
[[Category:Up-To-Date]]
[[Category:Oncology]]
[[Category:Medicine]]
[[Category:Gastroenterology]]
[[Category:Otolaryngology]]
[[Category:Surgery]]

Latest revision as of 20:48, 28 January 2019

Hypopharyngeal cancer Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Gertrude Djouka, M.D.[2], Faizan Sheraz, M.D. [3]

Overview

Secondary prevention measures of hypopharyngeal cancer include routine physical examination of head and neck and thyroid Screening are recommended among the patients who had received radiation therapy to the head and neck regions.

Secondary Prevention

Follow up after treatment

Patients treated for hypopharyngeal carcinoma should follow-up with the following:[1]

  • Thyroid function test to rule out hypothyroidism in patients who were exposed to a high beam of radiation therapy.
  • Head and neck examination after the treatment in the following orders:
    • Every month for the first year.
    • Every two months for the second year.
    • Every three months for the third year.

References

  1. ↑ "Hypopharyngeal Cancer Treatment (PDQ®)—Health Professional Version - National Cancer Institute".
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