the neck jochen a. werner marburg, germany. the neck in squamous cell carcinoma (hnscc) in cancer of...
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The Neck
Jochen A. Werner
Marburg, Germany
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The Neck
• in squamous cell carcinoma (HNSCC)
• in cancer of unknown primary
• in skin cancer
• in salivary gland cancer
• in thyroid cancer
• in the future
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The Neck
• in squamous cell carcinoma (HNSCC)
• in cancer of unknown primary
• in skin cancer
• in salivary gland cancer
• in thyroid cancer
• in the future
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The prognostic factor in head and neck cancer
The Neck
STATEMENTS 2008
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N0 Neck
STATEMENTS 2008
N+ Neck
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• NO Definition of N0 neck ! Standards in Staging
N0 Neck
STATEMENTS 2008
• NO Sufficient Data for Sentinel Node
• NO Proven Selection Criteria for Wait and See
• NO Consensus about the Extent of SND
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is still an individual topic regarding definition and strategy in HNSCC
N0 Neck
STATEMENTS 2008
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N0 Neck
STATEMENTS 2008
N+ Neck
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• Extension of ND is still unclear
• ND as the only treatment (1-2 mets) ?
• Role of micrometastes ?
• Radiotherapy > 1 node or > 2 ?
• Management of persisting LN after RT ?
N+ Neck
STATEMENTS 2008
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A lot of controversies on important questions
N+ Neck
STATEMENTS 2008
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The Neck
• in squamous cell carcinoma (HNSCC)
• in cancer of unknown primary
• in skin cancer
• in salivary gland cancer
• in thyroid cancer
• in the future
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The Neck in CUP
• NO Standards for Staging of CUP
• Lymph Node Extirpation Followed by ND ?
• Extension of Radiation Fields ?
• Radiation after Neck Dissection?
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is still an individual topic regarding definition and strategy
Neck in CUP
STATEMENTS 2008
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The Neck
• in squamous cell carcinoma (HNSCC)
• in cancer of unknown primary
• in skin cancer
• in salivary gland cancer
• in thyroid cancer
• in the future
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The Neck in Skin Cancer
• Sentinel Node in melanoma patients (Session 3)
• Parotideal lymph nodes
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The Neck
• in squamous cell carcinoma (HNSCC)
• in cancer of unknown primary
• in skin cancer
• in salivary gland cancer (Session 14)
• in thyroid cancer
• in the future
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The Neck
• in squamous cell carcinoma (HNSCC)
• in cancer of unknown primary
• in skin cancer
• in salivary gland cancer
• in thyroid cancer (Session 13)
• in the future
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The Neck
• in squamous cell carcinoma (HNSCC)
• in cancer of unknown primary
• in skin cancer
• in salivary gland cancer
• in thyroid cancer
• in the future
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Clinical and Basic Research
• Identification of high risk patients
• Molecular imaging
• Sentinel Node (Endoscopically)
The Neck - Perspectives
Aim for STATEMENTS 2020 (Hamburg)
Consensus based on Multicenter Trials
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1906 – 2008
RND - MRND
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Endoscopic SSND
SND
MRND
SNB
SSND
RND
New more
Individual
Concepts
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The Neck