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Head and Neck Cancer Recurrence : Evidence-Based, Multidisciplinary Management

ISBN: 9783131473912 | 3131473916

Edition: 1st
Format: Hardcover
Publisher: THIEME NEW YORK
Pub. Date: 10/1/2012

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Summary

Over the past 5 to 10 years, organ preservation techniques using chemoradiotherapy have gained considerable popularity as first-line treatment of head and neck cancer, especially for oropharyngeal, laryngeal, and hypopharyngeal cancer. This trend is now increasing with more intensified chemoradiotherapy treatment modalities and regimens. This means that more and more advanced disease is likely to be treated with chemoradiotherapy as a primary treatment, with increased likelihood of failure of these treatments (almost half of the patients relaps... MOREe, but the organ-preserving aspect of chemoradiotherapy makes it in many cases so very worthwhile as a primary treatment). As chemoradiotherapy is a relatively new management philosophy, experience of salvaging patients with recurrences is therefore still relatively limited and expertise of it is not yet highly developed, although it is an area of great interest for the wider specialties involved. This book is specifically compiled to provide evidence-based, multidisciplinary management strategies for this complex and difficult to manage disease, combined with an account of the relevant techniques, results, and possible complications that might arise and how to deal with them. The book is intended for practicing specialists in head and neck cancerboth surgery and oncology. It is aimed at the consultant level as well as at senior trainees interested in the field. Special features: Evidence-based, comprehensive review of the topic, which is very difficult to deal with in clinical practice and poorly covered in the literature International, multidisciplinary authorship including the top clinicians in their fields; most chapters have a surgeon and an oncologist involved, which offers top expertise and a balanced, multidisciplinary view General chapters on principles of relevant surgical p techniques and radiotherapy; site-specific chapters dealing with specific management of recurrence at each head and neck site Pactical tips and pitfalls sections the practical details will allow readers to improve patient management and outcomes Illustrative cases including history, clinical findings, imaging, treatment (incl. Plplanning and results) brings decision-making process to life and easier to relate to clinical practice Summaries, recommended further reading and further research sections highlight important aspects, offer a valuable reference facility, and point out specific needs for further systematic studies Target groups: head and neck surgeons (with a background in otolaryngology, maxillofacial surgery, or platisc surgery), head and neck radiation and medical oncologists

Despite significant progress in the treatment of head and neck cancer using new techniques, including organ preservation strategies, recurrence still occurs in up to 50% of patients with locally advanced disease. Head and Neck Cancer Recurrence is the first comprehensive, evidence-based reference on this complex condition, providing state-of-the-art strategies for treating and managing recurrence at each site within the head and neck. With this book at hand, specialists will have guidelines for detecting the presence of a tumor, evaluating the extent and likelihood of successful salvage, determining the most effective treatment modalities, and assessing the potential impact on outcome and function. Special features: Brings together all the current evidence and expertise on the epidemiology, risk factors, clinical and imaging evaluation, and management of recurrent head and neck cancer tumors Includes both curative and palliative approaches, and discusses surgical, radiotherapeutic, and chemotherapeutic strategic options Contains substantial contributions by specialists in speech and language therapy, palliative care, psychology, epidemiology, and clinical cancer nursing to provide a holistic, multidisciplinary approach to the management of recurrence of head and neck cancers Brings the decision-making process to life with illustrative case studies that contain patient histories, clinical findings, treatment planning, and documented results The combination of the most recent clinical advances with the latest thinking in the field makes this book an essential resource for all head and neck surgeons, clinical oncologists, radiation oncologists, nurse practitioners, allied health professionals and senior trainees working to improve patient management and outcomes in this challenging arena.

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