Hypopharyngeal cancer medical therapy: Difference between revisions

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{{Hypopharyngeal cancer}}
{{Hypopharyngeal cancer}}
{{CMG}} {{AE}}{{Faizan}}
{{CMG}}; {{AE}} {{G.D.}}, {{Faizan}}
 
==Overview==
==Overview==
==Medical Therapy==Treatment Options by Stage
The [[medical]] [[therapy]] with the combination of the [[radiotherapy]] has been used compared to [[Surgery|surgical]] [[therapy]] for the treatment of hypopharyngeal cancer.The optimal [[therapy]] for hypopharyngeal cancer depends on the stage at the time of the [[diagnosis]]. The combined treatment helps with [[Organ (anatomy)|organ]] preservation. [[Swallowing]], [[speech]] and [[laryngeal]] preservation are important to consider during the treatment.
 
Stage I Hypopharyngeal Cancer
Stage II Hypopharyngeal Cancer
Stage III Hypopharyngeal Cancer
Stage IV Hypopharyngeal Cancer
 
Stage I Hypopharyngeal Cancer
 
Treatment of stage I hypopharyngeal cancer may include the following:


Laryngopharyngectomy and neck dissection with or without high-dose radiation therapy to the lymph nodes of the neck.
==Medical Therapy==
Partial laryngopharyngectomy with or without high-dose radiation therapy to the lymph nodes on both sides of the neck.
* The [[medical]] [[therapy]] with [[radiotherapy]] has been used compared to surgical [[therapy]] for the treatment of hypopharyngeal cancer due to [[Organ (anatomy)|organ]] preservation.<ref name="pmid19306746">{{cite journal |vauthors=Lefebvre JL, Ang KK |title=Larynx preservation clinical trial design: key issues and recommendations-a consensus panel summary |journal=Int. J. Radiat. Oncol. Biol. Phys. |volume=73 |issue=5 |pages=1293–303 |date=April 2009 |pmid=19306746 |doi=10.1016/j.ijrobp.2008.10.047 |url=}}</ref><ref name="pmid8656441">{{cite journal |vauthors=Lefebvre JL, Chevalier D, Luboinski B, Kirkpatrick A, Collette L, Sahmoud T |title=Larynx preservation in pyriform sinus cancer: preliminary results of a European Organization for Research and Treatment of Cancer phase III trial. EORTC Head and Neck Cancer Cooperative Group |journal=J. Natl. Cancer Inst. |volume=88 |issue=13 |pages=890–9 |date=July 1996 |pmid=8656441 |doi= |url=}}</ref>
* The optimal [[therapy]] for hypopharyngeal cancer depends on the stage at the time of [[diagnosis]]. The following factors are important to consider:
**[[Swallowing]]
**[[Speech]]
**[[Larynx]]


Check the list of NCI-supported cancer clinical trials that are now accepting patients with stage I hypopharyngeal cancer. For more specific results, refine the search by using other search features, such as the location of the trial, the type of treatment, or the name of the drug. Talk with your doctor about clinical trials that may be right for you. General information about clinical trials is available from the NCI website.
==Chemotherapy==
 
*[[Chemotherapy]] followed by [[radiation therapy]] may help in [[Organ (anatomy)|organ]] preservation.<ref name="urlHypopharyngeal Cancer Treatment (PDQ®)—Health Professional Version - National Cancer Institute">{{cite web |url=https://www.cancer.gov/types/head-and-neck/hp/adult/hypopharyngeal-treatment-pdq#section/_74 |title=Hypopharyngeal Cancer Treatment (PDQ®)—Health Professional Version - National Cancer Institute |format= |work= |accessdate=}}</ref>
Stage II Hypopharyngeal Cancer
*[[Cisplatin]] plus [[Fluorouracil|Fluorouraci]]<nowiki/>l followed by [[radiation therapy]] are used for advanced stage.
 
==Radiation Therapy==
Treatment of stage II hypopharyngeal cancer may include the following:
*[[Radiation therapy]] may be used as a single modality treatment in early lesions.<ref name="Wei2002">{{cite journal|last1=Wei|first1=William I.|title=The Dilemma of Treating Hypopharyngeal Carcinoma: More or Less|journal=Archives of Otolaryngology–Head & Neck Surgery|volume=128|issue=3|year=2002|pages=229|issn=0886-4470|doi=10.1001/archotol.128.3.229}}</ref>
 
*[[Laser surgery]] is gradually replacing [[radiotherapy]] for early lesions as the outcome of both are similar while the [[laser therapy]].
Laryngopharyngectomy and neck dissection. High-dose radiationtherapy to the lymph nodes of the neck may be given before or after surgery.
Partial laryngopharyngectomy. High-dose radiation therapy to the lymph nodes of the neck may be given before or after surgery.
Chemotherapy given during or after radiation therapy or after surgery.
A clinical trial of chemotherapy followed by radiation therapy or surgery.
 
Check the list of NCI-supported cancer clinical trials that are now accepting patients withstage II hypopharyngeal cancer. For more specific results, refine the search by using other search features, such as the location of the trial, the type of treatment, or the name of the drug. Talk with your doctor about clinical trials that may be right for you. General information about clinical trials is available from the NCI website.
 
Stage III Hypopharyngeal Cancer
 
Treatment of stage III hypopharyngeal cancer may include the following:
 
Radiation therapy before or after surgery.
Chemotherapy given during or after radiation therapy or after surgery.
A clinical trial of chemotherapy followed by surgery and/or radiation therapy.
A clinical trial of chemotherapy given at the same time as radiation therapy.
A clinical trial of surgery followed by chemotherapy given at the same time as radiation therapy.
 
Treatment and follow-up of stage III hypopharyngeal cancer is complex and is ideally overseen by a team of specialists with experience and expertise in treating this type ofcancer. If all or part of the hypopharynx is removed, the patient may need plastic surgeryand other special help with breathing, eating, and talking.
 
Check the list of NCI-supported cancer clinical trials that are now accepting patients withstage III hypopharyngeal cancer. For more specific results, refine the search by using other search features, such as the location of the trial, the type of treatment, or the name of the drug. Talk with your doctor about clinical trials that may be right for you. General information about clinical trials is available from the NCI website.
 
Stage IV Hypopharyngeal Cancer
 
Treatment of stage IV hypopharyngeal cancer that can be treated with surgery may include the following:
 
Radiation therapy before or after surgery.
A clinical trial of chemotherapy followed by surgery and/or radiation therapy.
A clinical trial of surgery followed by chemotherapy given at the same time as radiation therapy.
 
Surgical treatment and follow-up of stage IV hypopharyngeal cancer is complex and is ideally overseen by a team of specialists with experience and expertise in treating this type of cancer. If all or part of the hypopharynx is removed, the patient may need plastic surgery and other special help with breathing, eating, and talking.
 
Treatment of stage IV hypopharyngeal cancer that cannot be treated with surgery may include the following:
 
Radiation therapy.
Chemotherapy given at the same time as radiation therapy.
A clinical trial of radiation therapy with chemotherapy.
* The goal of treatment is to completely remove the cancer and prevent it from spreading to other parts of the body.
 
* When the [[tumor]] is larger or has spread to lymph nodes in the neck, a combination of radiation and chemotherapy is often used to preserve the voice box.
==Supportive Treatment==
Many patients also need swallowing therapy after treatment to help them adjust to the changes in the structure of the throat.


==References==
==References==
{{reflist|2}}
{{reflist|2}}


{{WH}}
[[Category:Up-To-Date]]
{{WS}}
[[Category:Oncology]]
 
[[Category:Medicine]]
[[Category:Types of cancer]]
[[Category:Gastroenterology]]
[[Category:Otolaryngology]]
[[Category:Surgery]]

Latest revision as of 17:18, 1 February 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Gertrude Djouka, M.D.[2], Faizan Sheraz, M.D. [3]

Overview

The medical therapy with the combination of the radiotherapy has been used compared to surgical therapy for the treatment of hypopharyngeal cancer.The optimal therapy for hypopharyngeal cancer depends on the stage at the time of the diagnosis. The combined treatment helps with organ preservation. Swallowing, speech and laryngeal preservation are important to consider during the treatment.

Medical Therapy

Chemotherapy

Radiation Therapy

References

  1. Lefebvre JL, Ang KK (April 2009). "Larynx preservation clinical trial design: key issues and recommendations-a consensus panel summary". Int. J. Radiat. Oncol. Biol. Phys. 73 (5): 1293–303. doi:10.1016/j.ijrobp.2008.10.047. PMID 19306746.
  2. Lefebvre JL, Chevalier D, Luboinski B, Kirkpatrick A, Collette L, Sahmoud T (July 1996). "Larynx preservation in pyriform sinus cancer: preliminary results of a European Organization for Research and Treatment of Cancer phase III trial. EORTC Head and Neck Cancer Cooperative Group". J. Natl. Cancer Inst. 88 (13): 890–9. PMID 8656441.
  3. "Hypopharyngeal Cancer Treatment (PDQ®)—Health Professional Version - National Cancer Institute".
  4. Wei, William I. (2002). "The Dilemma of Treating Hypopharyngeal Carcinoma: More or Less". Archives of Otolaryngology–Head & Neck Surgery. 128 (3): 229. doi:10.1001/archotol.128.3.229. ISSN 0886-4470.