Hypopharyngeal cancer secondary prevention: Difference between revisions
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==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. | |||
==Secondary Prevention== | |||
===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> | |||
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! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Follow up}} | |||
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:Physical exam | |||
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*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 | |||
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:Nasendoscopy | |||
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*Immediately following radiation therapy | |||
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:Scanning | |||
:*CT Scan | |||
:*MRI | |||
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Scans 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 | |||
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:Thyroid hormone testing | |||
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*Thyroid stimulating hormone testing every 12 months if the neck was exposed to radiation | |||
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:Dental screening | |||
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*Only recommended if oral cavity was exposed to radiation | |||
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<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== | ||
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Revision as of 20:22, 8 October 2015
Hypopharyngeal cancer Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Faizan Sheraz, M.D. [2]
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.
Secondary Prevention
Follow up after treatment
Patients treated for hypopharyngeal carcinoma should follow-up for secondary prevention. Follow-up measures are shown in the table below:[1]
Follow up | Description |
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Scans are performed at routine intervals as follows:
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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.[1]
References
- ↑ 1.0 1.1 Pfister DG, Ang KK, Brizel DM, Burtness BA, Busse PM, Caudell JJ; et al. (2013). "Head and neck cancers, version 2.2013. Featured updates to the NCCN guidelines". J Natl Compr Canc Netw. 11 (8): 917–23. PMID 23946171.