Head and Neck Cancer.

Question 1

Risk factors for head and neck cancer?

Answer 1

Male 
Smoking 
Alcohol 
EBV - nasopharyngeal 
HPV - oropharyngeal and oesophageal

Question 2

Nasopharyngeal carcinoma, who gets it?

Answer 2

Asian populations, also associated with EBV infection.

Question 3

Most common nasopharyngeal tumour?

Answer 3

Squamous cell carcinoma.

Question 4

Presentation of nasal tumours?

Answer 4

Unilateral nasal congestion +./- bleeding.

New chronic sinusitis in older patient.

Question 5

1st line investigation of suspected nasal tumour?

Answer 5

Rhinoscopy and biopsy.

Starting is MRI.

Question 6

Mainstay of treatment of nasopharyngeal tumours?

Answer 6

Radiotherapy.

Question 7

Most common type of oropharyngeal tumour?

Answer 7

Squamous cell carcinoma.

Question 8

Most common type of laryngeal cancer?

Answer 8

Squamous cell carcinoma.

Question 9

Investigation and staging of laryngeal cancer:

Answer 9

1st line = laryngoscopes and biopsy.

Staging = neck CT.

Question 10

Presentation of laryngeal cancer?

Answer 10

Progressive hoarsness
Haemoptysis
Dysphasia
Otalgia.

Question 11

Management of laryngeal cancer?

Answer 11

Laryngeal sparing or total laryngectomy,

Chemo-radiotherapy can be used as an alternative in advanced disease.