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Guidelines in Management of Carcinoma of the Hypopharynx

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Carcinoma of the Larynx and Hypopharynx

Abstract

Carcinoma of the hypopharynx is a difficult disease to treat. Most patients on presentation have a few symptoms but have advanced stage of disease, often with cervical lymphadenopathy resulting in poor prognosis. Besides, airway and nutritional status are other important issues. Nearly 60–80% of patients are diagnosed to have stage III or IV disease at presentation [1–3]. Besides the high incidence of lymph node metastasis, another factor which contributes to poor prognosis is the significant rates of distant metastasis [4]. Nearly 60–80% patients of hypopharyngeal cancer present with clinically palpable nodal metastasis and often in contralateral neck. The distant metastasis may be seen in up to 40% and 60% cases [5]. Predominant sites for distant metastasis are the lung, mediastinal lymph nodes, liver and bone (Fig. 10.1a, b).

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Author information

Authors and Affiliations

  1. Department of Otolaryngology and Head-Neck Surgery, Formerly at All India Institute of Medical Sciences, New Delhi, India

    Sudhir Bahadur

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  1. Sudhir Bahadur
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Editors and Affiliations

  1. All India Institute of Medical Sciences, New Delhi, India

    Sudhir Bahadur

  2. All India Institute of Medical Sciences, New Delhi, India

    Alok Thakar

  3. Department of Radiation Oncology, Manipal Hospital, New Delhi, India

    Bidhu K. Mohanti

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Bahadur, S. (2019). Guidelines in Management of Carcinoma of the Hypopharynx. In: Bahadur, S., Thakar, A., Mohanti, B. (eds) Carcinoma of the Larynx and Hypopharynx . Springer, Singapore. https://doi.org/10.1007/978-981-13-3110-7_10

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  • DOI: https://doi.org/10.1007/978-981-13-3110-7_10

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-3109-1

  • Online ISBN: 978-981-13-3110-7

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