Radiation Therapy Of Head And Neck Cancer (medical Radiology / Radiation Oncology)

The contemporary management of patients with cancers of the head and neck is under careful scrutiny and major changes are being introduced in order to improve the potenti­ al not only for long-term control but also for less in the way of disfiguring and distres­ sing complications associated with the treatment programs. In 1988, the American Cancer Society estimates that there will be 42400 new cases of malignant tumors of the head and neck diagnosed with 12 850 deaths. In general, the prognosis for patients with malignant tumors of the head and neck re­ gion depends upon the site of origin, the local and regional extent of the tumor, the Kar­ nofsky status of the patient as well as the patient's general medical condition. The poten­ tial for cure for early stage tumors is extremely high particularly for those lesions involving the vocal cord, oral cavity, and the anterior two-thirds of the tongue. Major advances have been made in the management of head and neck cancer by the innovative utilization of surgery with radiation therapy. Small tumors can be cured by ei­ ther surgery or radiation therapy with equally good results. However, far advanced tu­ mors are more complicated and more difficult to cure requiring combined, integrated, multimodal programs of management. Therefore, the previously general poor prognosis for advanced tumors is becoming better with more aggressive treatment regimens. Front Matter....Pages I-XII Head and Neck Cancer: A General Overview....Pages 1-11 Imaging Studies in Head and Neck Cancer....Pages 13-26 Overview of Treatment Options....Pages 27-36 Treatment of Nodes in the Clinically N 0 Neck....Pages 37-40 Treatment of Nodes in the Clinically N + Neck....Pages 41-44 Oral Cavity....Pages 45-68 Oropharynx....Pages 69-87 Nasopharynx....Pages 89-105 Hypopharynx....Pages 107-124 Larynx....Pages 125-143 Nasal Vestibule, Nasal Cavity, and Paranasal Sinuses....Pages 145-170 Chemodectomas....Pages 171-179 Tumors of the Major and Minor Salivary Glands....Pages 181-196 Thyroid Cancer and its Management with Radiation Therapy....Pages 197-210 Cervical Nodal Metastasis from an Unknown Primary Carcinoma....Pages 211-218 Overview of Clinical Trials and Basis for Future Therapies....Pages 219-234 Back Matter....Pages 235-240 This volume considers the treatment of head and neck cancer from the point of view of the radiation oncologist. The epidemiology of head and neck cancer, evaluation of the patient, and basic treatment issues are discussed and the separate chapters are devoted to specific head and neck sites. The book provides a valuable summary of treatment approaches and results representing the best standard of care in the United States, Canada, and Europe. It offers a consensus approach and does not set forth the particular attitudes of any single institution. A comprehensive survey of the relevant literature is presented at the end of each chapter. Material is treated in such a way as to be relevant both to the practicing clinician and the resident in training