Hypopharyngeal cancer secondary prevention: Difference between revisions

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{{Hypopharyngeal cancer}}
{{Hypopharyngeal cancer}}
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{{CMG}} {{AE}}{{Faizan}}
==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}}
! style="background: #4479BA; width: 400px;" | {{fontcolor|#FFF|Description}}
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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
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |
:Nasendoscopy
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*Immediately following radiation therapy
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |
: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
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |
:Thyroid hormone testing
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*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==
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[[Category:Types of cancer]]
[[Category:Types of cancer]]

Revision as of 20:22, 8 October 2015

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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
Physical exam
  • 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
Nasendoscopy
  • Immediately following radiation therapy
Scanning
  • CT Scan
  • MRI

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
Thyroid hormone testing
  • Thyroid stimulating hormone testing every 12 months if the neck was exposed to radiation
Dental screening
  • Only recommended if oral cavity was exposed to radiation

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. 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.

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