Larynx preservation in head and neck cancers - A discussion of the National Comprehensive Cancer Network practice guidelines

Citation
Ml. Gillison et Aa. Forastiere, Larynx preservation in head and neck cancers - A discussion of the National Comprehensive Cancer Network practice guidelines, HEMAT ONCOL, 13(4), 1999, pp. 699
Citations number
64
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Hematology,"Cardiovascular & Hematology Research
Journal title
HEMATOLOGY-ONCOLOGY CLINICS OF NORTH AMERICA
ISSN journal
0889-8588 → ACNP
Volume
13
Issue
4
Year of publication
1999
Database
ISI
SICI code
0889-8588(199908)13:4<699:LPIHAN>2.0.ZU;2-5
Abstract
The management of advanced cancers of the larynx and hypopharynx has become increasingly complex as different treatment modalities, including surgery, radiation, and chemotherapy, have been combined with the goal of improving local disease control and disease-specific survival. A union of 17 compreh ensive cancer centers in the United States, the National Comprehensive Care Network (NCCN), was formed in 1995 to promote state-of-the-art cancer care . To achieve this goal, multidisciplinary panels of experts from member ins titutions have created disease-specific practice guidelines for the evaluat ion and treatment of cancer patients, including those with head and neck ca ncers. Although detailed analysis of surgical methods and radiation techniq ues are beyond the scope of this article, the evolving laryngeal preservati on strategics for patients with advanced, resectable hypopharyngeal or lary ngeal (including supraglottic and glottic) cancers are reviewed using relev ant sections of the NCCN practice guidelines as a framework for discussion.