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Beitragstitel Synchronous and Metachronous Secondary Tumors of the Head and Neck Cancer, a retrospective study 2011-2014.
Beitragscode O09
  1. Miranda Morrison Hôpital du Valais Präsentierende:r
Präsentationsform Vortrag
  • SGORL FV 2019
Abstract-Text Objectives: This study aims to look at the incidence of secondary tumors in Head and Neck cancer, in order to document their demographic, clinical, and prognostic characteristics. We also take a closer look at the therapeutic regiment offered to each case in order to analyse their outcome. Materials & Methods: We retrospectively reviewed the data from 208 patients diagnosed with Head and Neck cancer between January 2011 and December 2014. Any patients whose diagnosis was established in a different care facility were excluded. We then collected all information relevant to the patient pool’s demographic presentation, tumors location, primary TNM classification, radiological findings as well therapeutic strategies. These patients were followed over a 5 year period, allowing us to then work out the incidence and presentation synchronous and metachronous tumors. Results: Out of 208 patients with Head and Neck Squamous Cell cancer, 54 were excluded. Of the 154 viable patients, 28 presented with a secondary tumor of which 16 were synchronous (incidence of 10%) and 12 were metachronous (incidence of 7.7%). Of the secondary lesions most were situated in the Head & Neck region (39%) while almost equal numbers were found in the oesophagus and lung (28% and 32% respectively). As expected Hypopharynx tumors were preferentially associated with secondaries in the oesophagus, while secondaries of the larynx were most often found in the lung. Conclusions: In our study the incidence of SPT correspond well to the values already published in current literature. Half of our cases were metachronous emphasizing the need for a long term clinical and radiological follow-up.