[The indication of panendoscopy in the search for synchronous and metachronous head and neck cancer]

Rev Med Suisse. 2013 Oct 2;9(400):1770, 1772-4.
[Article in French]

Abstract

Head and neck cancer result from excessive tobacco and alcohol consumption. The survival has not improved in the last decades despite better loco-regional control, mainly because of secondary cancers. Head and neck cancer is associated to a high rate of synchronous esophageal and lung tumors and an annual 4% rate of new metachronous malignancies. The role of panendoscopy is evolving: a flexible esophagoscopy with Lugol's iodine staining should be performed and a chest CT-scan should replace bronchoscopy. During follow-up, metachronous malignancy should be searched for in the head and neck region; investigation beyond the head and neck is questionable since prognosis is poor.

Publication types

  • Review

MeSH terms

  • Carcinoma, Squamous Cell / diagnosis*
  • Carcinoma, Squamous Cell / epidemiology
  • Carcinoma, Squamous Cell / surgery
  • Endoscopy / statistics & numerical data*
  • Head and Neck Neoplasms / diagnosis*
  • Head and Neck Neoplasms / epidemiology
  • Head and Neck Neoplasms / surgery
  • Humans
  • Neoplasms, Multiple Primary / diagnosis*
  • Neoplasms, Multiple Primary / epidemiology
  • Neoplasms, Multiple Primary / surgery
  • Neoplasms, Second Primary / diagnosis*
  • Neoplasms, Second Primary / epidemiology
  • Neoplasms, Second Primary / surgery
  • Respiratory Tract Neoplasms / diagnosis
  • Respiratory Tract Neoplasms / epidemiology