AHNS Series: Do you know your guidelines? Principles of treatment for locally advanced or unresectable head and neck squamous cell carcinoma

Head Neck. 2018 Apr;40(4):676-686. doi: 10.1002/hed.25025. Epub 2017 Nov 24.

Abstract

This article is a continuation of the "Do You Know Your Guidelines" series, initiated by the Education committee of the American Head and Neck Society. Treatment guidelines for advanced head and neck squamous cell carcinoma are reviewed here, including the critical roles of radiotherapy, chemotherapy, and the recent application of immunotherapy agents. We will be limiting this discussion to include cancers of the oral cavity, oropharynx, hypopharynx, and larynx. It should be noted that much of the article pertains to human papillomavirus (HPV)-negative oropharyngeal cancer where applicable, as HPV-positive oropharyngeal squamous cell carcinoma carries a different natural history, different prognosis, and now different staging criteria. Additionally, the article will not include information on nasopharyngeal or sinus cancers, as these latter topics are covered in separate "Do you know your guidelines?" installments and these diagnoses carry somewhat different approaches to diagnosis and management that diverge from the focus of this article.

Keywords: National Comprehensive Cancer Network; advanced head and neck cancer; guidelines as topic; head and neck cancer; management.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Attitude of Health Personnel
  • Clinical Competence*
  • Female
  • Head and Neck Neoplasms / pathology
  • Head and Neck Neoplasms / therapy
  • Humans
  • Male
  • Neoplasm Invasiveness / pathology
  • Neoplasm Staging
  • Practice Guidelines as Topic*
  • Risk Assessment
  • Squamous Cell Carcinoma of Head and Neck / pathology*
  • Squamous Cell Carcinoma of Head and Neck / therapy
  • United States