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Symposium: Adjuvant cancer therapy of head and neck tumors. The use of postoperative irradiation — its goals and 1978 attainments
Author(s) -
Byers Robert M.
Publication year - 1979
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-197904000-00005
Subject(s) - medicine , larynx , head and neck cancer , perineural invasion , lymphatic system , head and neck , cancer , adjuvant therapy , metastasis , radiation therapy , connective tissue , surgery , pathology
The use of postoperative irradiation as an adjunctive measure for better control of local and regional disease after a surgical procedure has been used at the Anderson Hospital since approximately 1965. The common clinical setting occurs in those patients in whom, after surgical ablation of the tumor, there are microscopic foci of residual disease at the margins, perineural invasion, histologically a very poorly differentiated carcinoma, dermal lymphatic involvement, multiple nodes in the neck or very large nodes in which the tumor has broken through the nodal capsule and entered the connective tissue. We have been applying this criterion for the treatment of salivary gland malignancies, squamous carcinomas of the hypopharynx and supraglottic larynx, and all sites in the head and neck in which there was extensive cervical nodal metastasis. The results of this therapeutic approach will be reported and discussed.