Head and neck cancers, Version 2.2014. Clinical practice guidelines in oncology

Area of Science:

• Oncology
• Otolaryngology
• Head and Neck Surgery

Background:

• Glottic laryngeal cancer is the most common laryngeal malignancy.
• Sparse lymphatic drainage in the glottis limits early nodal metastasis.
• Hoarseness as an early symptom facilitates early diagnosis and treatment.

Purpose of the Study:

• To provide updated clinical practice guidelines for glottic laryngeal cancer.
• To incorporate revisions in radiation therapy and surgical principles.
• To add guidance on dental evaluation and management in head and neck cancer care.

Main Methods:

• Review and revision of the NCCN Clinical Practice Guidelines for Head and Neck Cancers.
• Focus on glottic cancer, a prevalent and curable form of laryngeal cancer.
• Inclusion of updated sections on radiation therapy, surgery, and dental management.

Main Results:

• The guidelines emphasize the excellent cure rate for glottic laryngeal cancer.
• Early stage diagnosis is common due to characteristic early symptoms.
• Revisions address contemporary principles in oncologic treatment and supportive care.

Conclusions:

• Updated NCCN Guidelines provide current recommendations for managing glottic laryngeal cancer.
• The guidelines underscore the importance of multidisciplinary care, including dental evaluation.
• Adherence to these guidelines supports optimal outcomes for head and neck cancer patients.