Tumour assessment and staging: United Kingdom National Multidisciplinary Guidelines

In general, the first decision to be made in a patient with a confirmed head and neck cancer is whether or not to treat the patient before deciding what form of management strategy is appropriate. There is no more important an aspect of head and neck cancer care than the initial evaluation of the pa...

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Bibliographic Details
Published in:Journal of laryngology and otology 2016-05, Vol.130 (S2), p.S53-S58
Main Authors: Roland, N, Porter, G, Fish, B, Makura, Z
Format: Article
Language:English
Subjects:
Autopsies
Classification
Guidelines
Head and Neck Neoplasms - classification
Head and Neck Neoplasms - diagnosis
Head and Neck Neoplasms - pathology
Humans
Interdisciplinary Communication
Lymphatic Metastasis - diagnosis
Lymphatic system
Metastasis
Neoplasm Staging - standards
Skin cancer
Thyroid gland
Tumors
United Kingdom
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Summary:In general, the first decision to be made in a patient with a confirmed head and neck cancer is whether or not to treat the patient before deciding what form of management strategy is appropriate. There is no more important an aspect of head and neck cancer care than the initial evaluation of the patient and the patient's tumour. The practice requires specific expertise and judgement. The current tumour–node–metastasis system relies on morphology of the tumour (anatomical site and extent of disease) but the final decision on treatment hinges on a full assessment of the patient including physiological age and general condition. The aim of this paper is primarily to describe why and how we appraise a patient and their tumour. It addresses the general principles applicable to the topic of evaluation, classification and staging. In addition, the limitations and pitfalls of this process are described.
ISSN:0022-2151
1748-5460
DOI:10.1017/S002221511600044X