Department of Otolaryngology-Head and Neck Surgery, University of Michigan, 1500 East Medical Center Drive, 1903 Taubman Center, SPC 5312, Ann Arbor, MI 48109-5312, USA.
Department of Otolaryngology-Head and Neck Surgery, University of Michigan, 1500 East Medical Center Drive, 1903 Taubman Center, SPC 5312, Ann Arbor, MI 48109-5312, USA.
Surg Oncol Clin N Am. 2024 Oct;33(4):683-695. doi: 10.1016/j.soc.2024.04.005. Epub 2024 May 18.
Head and neck cancer is a potentially traumatizing disease with the potential to impact many of the functions which are core to human life: eating, drinking, breathing, and speaking. Patients with head and neck cancer are disproportionately impacted by socioeconomic challenges, social stigma, and difficult decisions about treatment approaches. Herein, the authors review foundational ethical principles and frameworks to guide care of these patients. The authors discuss specific challenges including shared decision-making and advance care planning. The authors further discuss palliative care with a discussion of the role of surgery as a component of palliation.
头颈部癌症是一种可能造成创伤的疾病，有可能影响到许多对人类生活至关重要的功能：进食、饮水、呼吸和说话。头颈部癌症患者受到社会经济挑战、社会耻辱感和治疗方法决策困难的不成比例影响。在此，作者回顾了指导这些患者护理的基本伦理原则和框架。作者讨论了包括共享决策和预先护理计划在内的具体挑战。作者进一步讨论了姑息治疗，并讨论了手术作为姑息治疗的一部分的作用。
