Follow-up in Head and Neck Cancer: Do More Does It Mean Do Better? A Systematic Review and Our Proposal Based on Our Experience.

Follow-up in Head and Neck Cancer: Do More Does It Mean Do Better? A Systematic Review and Our Proposal Based on Our Experience.
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DOI:
10.21053/ceo.2015.00976
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发表时间:
2016-12
影响因子:
3
通讯作者:
Russi EG
Russi EG
中科院分区:
医学2区
文献类型:
--
作者:
Denaro N;Merlano MC;Russi EG

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随着患者年龄的增长,癌症筛查的增加和癌症治疗的改善,未来将有数百万头颈癌(HNC)患者被归类为癌症幸存者。人乳头瘤病毒相关HNC的流行病学变化导致许多年轻患者接受治疗。HNC治疗后加强监测,包括耳鼻咽喉(ENT)内镜检查、影像学检查和血清学检查,可提供生存获益,但在不可切除的复发中不太明显。我们对文献进行了全面的修订,并分析了我们中心的经验。我们修订了关于这一主题的出版物,并增加了来自医学肿瘤学、耳鼻喉科和放射肿瘤学科学协会专家跨学科工作的数据。我们回顾性收集了圣十字和卡尔大学医院接受放化疗治疗的患者的局部和远处复发。HNC后续计划尚未编纂和世界范围内接受。需要定期跟进。我们建议采用标准化的随访指南,尽管经常需要多学科方法来定制每个患者的监测计划和治疗。
As the patients population ages, cancer screening increases, and cancer treatments improve, millions more head and neck carcinoma (HNC) patients will be classified as cancer survivors in the future. Change in epidemiology with human papillomavirus related HNC leads to a number of young treated patients. After treatment for HNC intensive surveillance, including ear, nose and throat (ENT) endoscopy, imaging, and serology, confers a survival benefit that became less evident in unresectable recurrence. We performed a comprehensive revision of literature and analyzed the experience of our centre. We revised publications on this topic and added data derived from the interdisciplinary work of experts within medical oncology, ENT, and radiation oncology scientific societies. We retrospectively collected local and distant recurrence of chemoradiation treated patients at Santa Croce and Carle University Hospital. A HNC follow-up program is not already codified and worldwide accepted. There is a need of scheduled follow-up. We suggest adopting a standardized follow-up guideline, although a multidisciplinary approach is frequently requested to tailor surveillance program and treatment on each patient.
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