Abstract
This chapter discusses the role of the surgeon in the diagnosis, evaluation, and treatment decision making for head and neck cancer patients. The key decision point in the treatment planning is often whether to proceed with nonsurgical therapy (i.e., chemotherapy and radiotherapy, often in combination), or surgery. When two treatment options have equivalent oncologic outcomes, the decision comes down to several factors. These include tumor characteristics, patient factors, and physician/treatment center preferences. With all these considerations in mind, recommendations for treatment come after discussions at multidisciplinary tumor conferences.
Head and neck cancer may develop in the neck, oral cavity, oropharynx, nasopharynx, sinonasal cavity, larynx, hypopharynx, and salivary glands. Evaluation of patients with cancer in each of these sites is discussed. The treatment of cervical lymph node groups depends on the site and stage of the primary site of head and neck cancer; the rationale for treating the lymph nodes is explained. The benefits and disadvantages of surgical and non-surgical therapies are discussed for each of the head and neck cancer sites. When surgery is chosen, treatment may leave a patient with a defect that can dramatically alter his or her appearance or ability to swallow or communicate. Surgeons play a critical role in minimizing these effects with reconstructive efforts.
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Waltonen, J.D. (2013). Role of Surgery in Treatment of Head and Neck Cancer. In: Radosevich, J. (eds) Head & Neck Cancer: Current Perspectives, Advances, and Challenges. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-5827-8_18
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DOI: https://doi.org/10.1007/978-94-007-5827-8_18
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