A Nordic survey on the management of head and neck CUP

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http://hdl.handle.net/10138/169286

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Farnebo , L , Laurell , G & Makitie , A 2016 , ' A Nordic survey on the management of head and neck CUP ' , Acta Oto-Laryngologica , vol. 136 , no. 11 , pp. 1159-1163 . https://doi.org/10.1080/00016489.2016.1193894

Title: A Nordic survey on the management of head and neck CUP
Author: Farnebo, Lovisa; Laurell, Goran; Makitie, Antti
Contributor: University of Helsinki, Clinicum
Date: 2016-11
Language: eng
Number of pages: 5
Belongs to series: Acta Oto-Laryngologica
ISSN: 0001-6489
URI: http://hdl.handle.net/10138/169286
Abstract: Conclusion: The management of Head and Neck Cancer of Unknown Primary (HNCUP) patients varies both between centres within and also between the Nordic countries. This study contributes to a continuing discussion of how to improve the accuracy of diagnosis and quality of treatment of HNCUP patients.Objectives: The initiative for this study was based on the lack of common guidelines for diagnostic procedures and for treatment of HNCUP patients in the Nordic countries constituting a region having a rather homogeneous population.Method: A structured questionnaire was sent to all university hospitals in the five Nordic countries.Results: Four of the five Nordic countries use either national guidelines or specific protocols when handling HNCUP. The main diagnostic tools are PET-CT, fine needle aspiration, endoscopic evaluation with biopsies, and most often bilateral tonsillectomy. At 21 of 22 university hospitals the treatment decision is made at a multidisciplinary conference. Three of seven Swedish centres use only radiotherapy or chemoradiotherapy to treat N+ HNCUP patients. Robotic surgery for biopsy of the tongue base is beginning to become an alternative to targeted biopsies in Sweden and Finland. Narrow Band Imaging is used only in Finland.
Subject: Cancer of unknown origin
follow up
multidisciplinary tumour board meeting
PET-CT
SQUAMOUS-CELL CARCINOMA
LYMPH-NODE METASTASES
UNKNOWN PRIMARY ORIGIN
CANCER
TUMOR
TOMOGRAPHY
3125 Otorhinolaryngology, ophthalmology
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