Health Questions and Answers

Archive for June, 2008

Question: What are the most common sites of metastases of head and neck cancer?

Saturday, June 28th, 2008

Answer: The most common sites of metastases are local lymphatics, followed by lung metastases. Bone metastases occur in about 15% of the patients. Brain metastases are rare and are seen mainly in patients with nasopharyngeal cancer. It is also important to remember that second primaries in the aerodigestive tract are not uncommon. Depending on tobacco […]

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Question: Describe the evaluation and initial staging of patients with head and neck cancer?

Friday, June 27th, 2008

Answer: Initial staging of head and neck cancer includes a thorough triple endoscopy of upper and lower airway and upper aerodigestive tract, with biopsy of any suspicious lesions. Measurement and biopsy, if indicated, of any cervical or supraclavicular nodes should be performed. A CT scan of the area helps to determine the extent of disease. […]

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