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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
SURGERY WITH POSTOPERATIVE RT
VS
(CHEMO) RADIOTHERAPY FOLLOWED BY
NECK DISSECTION ONLY IN THOSE PATIENTS
WHO DO NOT ACHIEVE A COMPLETE CLINICAL
OR METABOLIC PET RESPONSE TO
IRRADIATION
NOT CLEAR WHAT IS THE OPTIMAL THERAPY…
ADVANCED NECK DISEASE
EXTRACAPSULAR SPREAD
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
Shumann, J Cranio Max Fac Surg 2015
THERAPEUTIC OPTIONS
ADVANCED STAGE NECK DISEASE
mercoledì 29 giugno 16