About page
Padding 1 + background #9B0000
6th m/c, 90% SqCC
Elderly men exposed to smoking, alcohol abuse, EBV/HPV
Constraints
Esophagus 는 60Gy 이상 들어가면 안될 것.
NCCN Guideline – Skin SqCC
44 Adult Tumors of the Eye and Orbit
45 Ear
46 Locally Advanced Squamous Carcinoma of the Head and Neck
47 Nasopharynx
Anatomy, epidemiology, staging
48 Cancer of the Nasal Cavity and Paranasal Sinuses
49 Salivary Glands
50 Oral Cavity
| Constituents | mucosal lip | buccal mucosa | alveolar ridges |
| retromolar trigone | floor of mouth | hard palate | oral tongue (anterior 2/3) |
51 Oropharynx
| Constituents | base of tongue (BOT) | tonsillar complex | soft palate | PPW |
Management Strategies
- T1: 66Gy/33Fx
- Stage 1-2: 70Gy/35Fx
- Stage 3-4: CCRT w/ cisplatin 100mg/m2 q 3wks
- T4 or N3: induction chemo
- Neck dissection in only PET positive ~ wks
- Early: Surgery +- adjuvants or Definitive RT
- Locally advanced: Definitive RT & CCRT
52 Hypopharynx
Anatomy, Epidemiology, Staging
Management Strategies
| Tumor stage | Recommendations |
|---|---|
| Stage I | RT alone or voice preservation surgery if feasible |
| Stage II | RT alone |
| Stage III & IV with functional laryngopharynx | CCRT followed by SND |
| Stage III & IV with dysfunctional laryngopharynxa | Laryngopharyngectomy with adjuvant RT or CRT |