Oncology Specialties Flashcards
1
Q
Head and Neck Cancer
- Cancer prevalence burden
A
Head and Neck Cancer Prevalence
- 4th in men
- 13th in women
2
Q
Head and neck
- Most common histology
- Most common progression
A
Head and neck
- Most commonly
- SSC - Most commonly
- Progress from mucosal surface
3
Q
Head and neck cancer
- Viral origins
A
H&N cancer
- HPV
- Oropharynx - EBV
- Nasopharynx
4
Q
H&N
- Lifestyle RF
- Occupation RF
A
H&N Cancers
- Lifestyle
1. Smoking
2. Betel chewing
3. Alcohol - Occupation
1. Wood dust
5
Q
H&N Cancer
- S&S
A
H&N S&S
- Lymph nodes noticed
- Advanced
- Breathing
- Eating
- Communication
- Carotid - Fungation in skin
6
Q
Tracheostomy
- Types
A
Tracheostomies
- Temporary
- Permanently
- Diversion of trachea
- Not possible to breath through mouth
- No smell or cough
7
Q
H&N
- 2WW Ix
A
H&N 2WW
- US & FNA
- FNE
- CT/MRI
- Pan-endoscopy
- PET
- P16
8
Q
H&N
- Staging
A
H&N Staging
- HPV vs non HPV
- HPV better prognosis
- Small/no primary
- Bulky lymph nodes
9
Q
H&N
- Metastasis sites
A
H&N Metastasis
- Local
- Lymphatic
- Lung
- Bone, liver, brain
10
Q
H&N Cancer
- Mx
A
H&N Mx
- MDT
1. ENT/Maxillofacial/Dental
2. SALT, CNS - Radical vs palliative?
1. Tumour features
2. Performance status
11
Q
H&N Surgery
- Escalation
A
H&N Escalating Surgery
+adjuvant chemo?
- Laser/robotic surgery
- T1/T2 Oropharynx/Larynx - Flap reconstruction
- Laryngectomy
- T4a, recurrent - Neck dissection
- Laryngopharyngectomy (vs radio)
- Hypopharynx cancer
12
Q
H&N Cancer
- Salivary Surgery
A
H&N Cancer
- Salivary Surgery
1 Partial/total parotidectomy
2 Submandibular excision
3 Dissection in N+ disease
13
Q
H&N Radiotherapy
- ADRs
A
H&N Radiotherapy ADRs
- Skin reaction
- Mucositis
- Dry mouth
- Thick saliva
- Loss of taste - Difficulty swallowing
- Osteonecrosis
- Secondary cancers
14
Q
Radiotherapy
- Mucositis Mx
A
Radiotherapy Mucositis
- Flaminal Hydro gel
15
Q
H&N Radiotherapy
- Dosing
A
H&N Radiotherapy
- Gray dosing
- Fractions of treatment
- Side effects on week 2-3
