247b H/N Cancer Flashcards
1
Q
what kind of tissue do the vast majority of H/N cancers arise from? what kind of cancer? was distinguishes in-situ vs invasive carcinoma?
A
epithelial lining
squamous cell carcinoma
basement membrane invasion
2
Q
major risk factors for H/N cancer
A
1 tobacco
alcohol
EBV –> nasopharynx
HPV 16/18–> oropharynx
3
Q
dx of H/N cancers
A
biopsy, FNA cervical node + imaging
4
Q
stage I/II (T1/T2 N0M0) H/N cancer Rx
A
single modality
surgery vs RT
5
Q
stage III, IV H/N cancer Rx
A
multi-modality
surgery –> RT
chemo now playing a larger role
6
Q
when is robotic surgery most often used in H/N cancers?
A
oropharynx - tonsil and tongue tumors mostly