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Flashcards in H&N Deck (19)
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0

Treatment for SCCa at the nasal sill or columella

WLE is better than radiation bc radiation may not penetrate well.

1

MCC of sinonasal CA

SCCa

2

What nasal tumor has small round cells in rosettes?

Esthesioneuroblastoma

3

Ohngren's line

Line from medial canthus to angle of mandible.
Tumors above spread superiorly and posteriorly
Tumors below carry better prognosis

4

Where do nose and sinus tumors met?

Cervical or retropharyngeal nodes

5

Why is radiation to the nose/paranasal sinuses controversial?

The associated morbidity to the eyes

6

Excluding skin cancer, what is the m/c H&N CA site?

Laryngeal cancer

7

Where does laryngeal CA occur?

Glottis (67%; 95% of which is TVC)
Supraglottis (31%)
Subglottis (2%)

8

Why is it important to figure out which part of the larynx the cancer affects?

Each subsite has different drainage/spread, management, and prognosis
Supraglottis drains b/l to upper and middle jug LN
Glottis has no notable LN drainage but can invade pre-epiglottic space

9

What is the difference between radical, modified, and selective neck dissections?

-Radical: nodes, SCM, submandibular gland, tail of parotid, IJ, EJ, cervical sensory nerves, CN 11
-Modified: only nodes
-Selective: selective levels

10

What 2 structures are immediately deep to platysma?

Greater auric
EJ

11

How do you know when you are getting to the posterior limit of the neck dissection ( ie from IV into V)

Where greater auric turns around post belly of SCM

12

What node level for anterior oral cavity cancer?

I, II, III

13

What node level for cancer of OP, hypopharynx, or supraglottic?

II - IV

14

What node level for thyroid tumors?

II - IV, V

15

What node level for posterior scalp?

II - V and suboccipital nodes under trap posterior to V (posterior lateral neck dissection)

16

Classification of neck dissection

-Comprehensive: all nodes +/- other structures
-Selective: specific node levels
-Extended: posterior lateral, paratracheal

17

Most common site for H&N CA?

Oral cancer (30% of all H&N CA)

18

H&N CA site with highest rate of second primaries?

Oral cancer (10-40%)