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Treatment Options: Study reports neck dissection effective in patients with residual disease

by Thomas R. Collins • February 7, 2011

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Management

Overall, though, the study is a sign that neck dissection plays a key role in resolving residual neck disease, Dr. Dooley said. “Neck dissection remains important in the management of advanced head and neck malignancy treated primarily with chemo and radiation therapy,” she said. “This may be especially true in patients with tonsil primaries, though this area needs further evaluation and analysis that takes into account HPV and P16 (a protein that is a marker of HPV) status.”

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Explore This Issue
February 2011

David Eibling, MD, professor and chair of otolaryngology at the University of Pittsburgh and moderator of the session, said he was “intrigued” by the study. He asked Dr. Dooley whether there was any correlation between the pathology findings of patients evaluated with a CT scan or a PET scan.

Half of those with residual disease by CT scan or PET scan had a positive pathology report, Dr. Dooley explained. There were very few patients with PET scans so PET specificity and sensitivity were not evaluated, she added.

Pages: 1 2 3 | Single Page

Filed Under: Everyday Ethics, Head and Neck, Medical Education, News, Practice Management Tagged With: cancer, head and neck surgery, quality of careIssue: February 2011

You Might Also Like:

  • What Is the Role of PET-CT in Residual Occult Nodal Disease?
  • PET-Directed Management of Node-Positive Head and Neck Cancers
  • Elective Neck Dissection with Parotidectomy Should Be Part of P+N0 Disease Treatment in HNCSCC
  • New Tool Could Aid Decisions on Elective Neck Dissection: Fast polymerase chain reaction detects sentinel lymph node positivity

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