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Carcinoma of the tonsil
1Joint Center for Otolaryngology, Harvard University, Boston, Massachusetts.
Head & Neck
|September 1, 1993
Summary
Secondhand smoke is a known carcinogen, though its link to head and neck cancer requires further research. Experts recommend surgery and radiotherapy for treatment, alongside psychological support for patients.
Area of Science:
- Oncology
- Environmental Health
Background:
- Secondhand smoke is classified as a Group A carcinogen by the Environmental Protection Agency.
- While strongly linked to lung cancer, conclusive evidence for head and neck cancer is pending.
Observation:
- Experts debated surgical approaches including marginal mandibulectomy, radical neck dissection, and composite resection.
- Reconstruction options varied, involving flaps (FAMM, tongue, pectoralis major myocutaneous) or skin grafts.
- Radiotherapy was a common recommendation, with a dental consultation advised beforehand.
Findings:
- Surgical interventions and radiotherapy were agreed upon by multiple experts for head and neck cancer treatment.
- Reconstruction strategies and the role of radiotherapy varied among specialists.
- Psychological support and spousal involvement were emphasized for patient care.
Implications:
- Further research may establish a definitive causal link between secondhand smoke and head and neck cancers.
- Multidisciplinary treatment approaches, including surgery, radiotherapy, and reconstruction, are crucial.
- Comprehensive patient care necessitates psychological counseling and family/support group involvement.