Servicio de Oncología Médica, Institut Català d'Oncologia, L'Hospitalet de Llobregat, Barcelona, Spain.
Clin Transl Oncol. 2010 Nov;12(11):742-8. doi: 10.1007/s12094-010-0589-2.
Head and neck cancer constitutes the fifth highest cause of cancer in Spain. It is a neoplasm with a high possibility of cure if it is diagnosed in early stages, but unfortunately two thirds of the patients are diagnosed at an advanced loco-regional stage (stage III and IV, without metastasis). The multidisciplinary team, bringing together all professionals who specialize in the diagnosis and treatment of these tumors make the decision to establish the best sequence of individualized diagnosis, staging and treatment for each patient. This guide gives recommendations for diagnosis, staging and treatment for squamous cell carcinoma of the head and neck. In order to simplify the amount of information about any subsite of the head and neck area, the treatment recommendations are summarized as local disease, locally advance resectable and unresectable stages, function-preserving laryngeal treatment and recurrent and metastatic disease.
头颈部癌症是西班牙癌症发病率第五高的疾病。如果在早期诊断,这种肿瘤有很高的治愈可能,但不幸的是,三分之二的患者在局部晚期(III 期和 IV 期,无转移)被诊断出来。多学科团队汇集了所有专门诊断和治疗这些肿瘤的专业人员,为每位患者制定最佳的个体化诊断、分期和治疗方案。本指南对头颈部鳞状细胞癌的诊断、分期和治疗提出了建议。为了简化头颈部任何部位的信息量,治疗建议总结为局部疾病、局部进展可切除和不可切除阶段、保留喉功能的治疗以及复发性和转移性疾病。