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Critical review of the follow-up protocol for head and neck cancer patients
- Source :
- The Journal of Laryngology & Otology. 133:424-429
- Publication Year :
- 2019
- Publisher :
- Cambridge University Press (CUP), 2019.
-
Abstract
- ObjectiveHead and neck cancer follow-up length, interval and content are controversial. Therefore, this study aimed to evaluate the efficacy of the follow-up protocol after curative treatment in head and neck cancer patients.MethodClinical data of 456 patients with new malignancy of the head and neck from a tertiary care centre district from 1999 to 2008 were analysed. Time from treatment, symptoms and second-line treatment outcomes of patients with recurrent disease were evaluated.ResultsA total of 94 (22 per cent) patients relapsed during the 5-year follow-up period; 90 per cent of recurrences were found within 3 years. Fifty-six per cent of the patients had subjective symptoms indicating a recurrence of the tumour. All recurrent tumours found during routine follow-up visits without symptoms were found within 34 months after completion of treatment.ConclusionRoutine follow up after three years is questionable; recurrent disease beyond this point was detected in only 2 per cent of patients. In this study, all late tumour recurrences had symptoms of the disease. Easy access to extra follow-up visits when symptoms occur could cover the need for late follow up.
- Subjects :
- Adult
Male
Pediatrics
medicine.medical_specialty
Time Factors
Treatment outcome
Aftercare
Disease
Malignancy
Tertiary care
03 medical and health sciences
0302 clinical medicine
Clinical Protocols
Recurrent disease
medicine
Humans
030223 otorhinolaryngology
Head and neck
Aged
business.industry
Head and neck cancer
General Medicine
Middle Aged
medicine.disease
Otorhinolaryngology
Head and Neck Neoplasms
Curative treatment
030220 oncology & carcinogenesis
Female
Neoplasm Recurrence, Local
business
Subjects
Details
- ISSN :
- 17485460 and 00222151
- Volume :
- 133
- Database :
- OpenAIRE
- Journal :
- The Journal of Laryngology & Otology
- Accession number :
- edsair.doi.dedup.....86f47a97b751857e050300912e51e4e3