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EARLY STAGE NECK DISEASE
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
IN LOW-VOLUME NECK DISEASE
(
N1 AND EARLY N2A)
WITHOUT EXTRACAPSULAR SPREAD
(ECS)
NECK LEVELS DISSECTION AS APPROPRIATE
OR RT OF THE INVOLVED NECK.
ADVANCED STAGE NECK DISEASE
ADVANCED NECK DISEASE
EXTRACAPSULAR SPREAD
EXCELLENT REGIONAL CONTROL
WITH EITHER SURGERY OR RT
ALONE
A COMBINED TREATMENT IS STRONGLY
RECOMMENDED: IN SOME SERIES
OMISSION OF RADIOTHERAPY RESULTS IN
75% OF RECURRENCE
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
THERAPEUTIC OPTIONS
mercoledì 29 giugno 16