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Tumours that are collectively referred to as head and neck tumours often start in the squamous cells that make up the mucosal surfaces of the head and neck. Though these tumours are far less frequent than squamous cell carcinomas, they may also start in the salivary glands, sinuses, muscles, or nerves in the head and neck.
With the proper care, stage I tumours have a 5-year survival rate as high as 90%, stage II tumours between 75 and 80%, stage III tumours between 45 and 75%, and stage IV tumours as high as 50%. Depending on the primary location and cause, the survival rates vary substantially. Stage I laryngeal tumours have superior survival rates compared to other areas. Compared to oropharyngeal cancers from alcohol or cigarettes, HPV-related tumours have a considerably better prognosis. Visit our cancer care hospital in Hebbal for the best treatment.
Treatment of Head and Neck Tumors
Radiation and surgery are the two essential therapies for head and neck tumours. These treatments may be applied alone, in groups, with or without chemotherapy. Numerous cancers react similarly to radiation and surgery regardless of where they are. However, one modality outperforms another in some sites. For instance, surgery is preferable to radiation treatment for early-stage oral cavity diseases because radiation therapy increases the risk of mandibular osteoradionecrosis.
Endoscopic surgery has increased, and in some head and neck tumours, as its recovery rates are superior to those of open surgery or radiation therapy. Endoscopic techniques are often employed for laryngeal surgery, and the cuts are typically made with a laser. Selected sinonasal tumours are being treated using endoscopic procedures as well.
Radiation is given to the primary location or bilaterally to the cervical lymph nodes if radiation therapy is selected as the immediate treatment. The central location, histologic standards, and likelihood of nodal illness affect how lymphatics are treated, whether by radiation or surgery. While locations with fewer lymphatics often do not need lymphatic radiation for initial illness, areas with more lymphatics in the head and neck typically do require lymph node radiation, irrespective of tumour stage. Radiation is delivered to a particular region using Intensity-Modulated Radiation Treatment (IMRT), which may lessen the side effects of tumour treatment.
Chemotherapy is seldom ever utilised as the primary method of treatment. Burkitt lymphoma and other chemosensitive cancers must undergo primary chemotherapy. When conventional treatments are ineffective, several medications, including cisplatin, fluorouracil, bleomycin, and methotrexate, help patients manage their discomfort and decrease their tumours. Although the first response may be positive, it is not long-lasting, and the tumour nearly invariably returns. For certain patients, targeted medications such as cetuximab are being used more often in place of conventional chemotherapy treatments. Consult with our experts to have the best treatment.
Multidisciplinary treatment planning is crucial due to the complexity of head and neck cancer therapy. A tumour board of experts from various medical fields, including radiologists and pathologists, should address each patient to decide on the appropriate course of action. A multidisciplinary team composed of ear, nose, and throat and reconstructive surgeons, radiation and medical oncologists, speech and language pathologists, dentists, and nutritionists will be best when coordinating therapy after it has been decided upon.
Experience world-class healthcare at Manipal Hospitals. Our expert team of doctors and state-of-the-art facilities ensure personalized and advanced treatments. Take the first step towards wellness. Book an appointment today.
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