Papers Flashcards

1
Q

Elective neck dissection
VS US every 3 months?

A

Anil de Cruz Tata
On of the few RCTs in the specialty
Depth of invasion is important - less than DOI 3mm can be observed.

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2
Q

cetuximab vs cysplatin for crt for HPV+ OPC? Study name

A

Rtog 1016 and de escalate - cetuximab is worse comparing to cysplatin for crt

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3
Q

NavDX trial?

A

NavDX trial at Mskcc - before the surgery. If high, do oropharyngeal tumor resection, monitor based on NAVDX.

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4
Q

When to radiate salivary gland tumors?

A

Armstrong 1992 paper
Salivary gland indications to RT
High grade tumor radiate and stage III-IV and with nodal mets

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5
Q

Schwannoma treatment paper?

A

RT paper from Princess Margaret - tumor growth arrest
Surgery, observation is the option.

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6
Q

Neck Mets patterns of scc cancer. Paper

A

J Shah,
1990 paper of 1119 radical neck dissections.
Oral cavity - 1-3
Oro pharynx and lower - 2-4

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7
Q

Adenoid cystic carcinoma (cylindroma) of the larynx - nodal mets frequency is around ?
Lung mets frequency?

A

Ferlito (with Shaha) - nodal mts frequency is around 12.1%
Cervical Lymph Node Metastasis in Adenoid Cystic Carcinoma of the Larynx: A Collective International Review 2016

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8
Q

Adenoid cystic carcinoma (cylindroma) of the head and neck - nodal mets frequency is around?

A

Ziv Gil. - Israel
Incidence of cervical lymph node metastasis and its association with outcomes in patients with adenoid cystic carcinoma. An international collaborative study
Oral cavity - 37%
Major salivary gland - 19%

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9
Q

Frequency of DM in adenoid cystic carcinoma of major salivary glands?

A

20% overall
67% lung
17% Liver

Prognosis and risk factors for early-stage adenoid cystic carcinoma of the major salivary glands
Mihir K Bhayani 1, Murat Yener, Adel El-Naggar, Adam Garden, Ehab Y Hanna, Randal S Weber, Michael E Kupferman

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10
Q

Osteoradionecrosis - treatment? Paper author?

A

upfront free fibula flap, better QOL

Resection and immediate microvascular reconstruction in the management of osteoradionecrosis of the mandible
A R Shaha 1, P G Cordeiro, D A Hidalgo, R H Spiro, E W Strong, I Zlotolow, J Huryn, J P Shah - 1997

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11
Q

CRT vs only RT for head and neck cancer?
Two trials

A

EORTC trial no. 22931 and RTOG trial no. 9501

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12
Q

Elective Neck dissection for parotid malignancy?

A

2014 Ian Ganly paper

In patients with cN0 disease, observation of the neck is safe in those who are under 60 years of age with clinical T1 or T2 tumors and who have low-grade histology.

END should be carried out in patients with cT3-T4 disease or high-grade histology and should involve levels II to IV at a minimum.

Patients with cN? disease commonly have all neck levels involved and therefore should be managed with comprehensive neck dissection.

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13
Q

Field cancerization concept?

A

Slaughter 1953, 783 patients
Chicago , university of Illinois

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14
Q

Mslt 1 and 2 trials ?

A

Melanoma SLNB and neck dissection
ND does not prolong survival. Only Locoregional recurrence free time. And give prognostic information

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15
Q

Orator update ?

A

No survival difference.
Robot has slight lower Qol - 3 years out

RT complications will kick in later )

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16
Q

Laryngeal preservation trials?

A

VA study
Surgery vs induction +RT

RTOG 91-11:
3 arms - induction +RT
- CRT with cisplatin
- RT alone

17
Q

Malignancy rate in salivary glands? Paper author?

A

2807 cases revised
Minor - 82%
Submand - 43%
Parotid - 25%
Ronald Spiro et al 1986

18
Q

Neck levels for skin cancer? Author and levels based on location of primary

A

O’Brien- 1995 paper - prediction of Mets based on lymphoscintigraphy

Whatershed zone above the external ear. - lvl 1-5, parotid

Anterior to tragus- parotid, lvl 1-4

Posterior to auricle- lvl 2-5 plus occipital nodes

Neck below lvl 2 - lvl 3-5

19
Q

Neck dissection levels based on skin cancer location

A

Anterior to tragus Level |-Ill or IV + Parotid
Above the ear Level I-V + Parotid
Behind the ear Level II-V + Occipital Nodes
Neck skin Level III-V
Adapted from O’Brien et al. American Journal of Surgery) [4]
)Deton at

20
Q

Advanced bcc treatment

A

Vismodegib first line HHI
Cemiblimab second line