The Neck Jochen A. Werner Marburg, Germany. The Neck in squamous cell carcinoma (HNSCC) in cancer of unknown primary in skin cancer in salivary gland.

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Presentation transcript:

The Neck Jochen A. Werner Marburg, Germany

The Neck in squamous cell carcinoma (HNSCC) in cancer of unknown primary in skin cancer in salivary gland cancer in thyroid cancer in the future

The Neck in squamous cell carcinoma (HNSCC) in cancer of unknown primary in skin cancer in salivary gland cancer in thyroid cancer in the future

The prognostic factor in head and neck cancer The Neck STATEMENTS 2008

N0 Neck STATEMENTS 2008 N+ Neck

NO Definition of N0 neck ! Standards in Staging N0 Neck STATEMENTS 2008 NO Sufficient Data for Sentinel Node NO Proven Selection Criteria for Wait and See NO Consensus about the Extent of SND

is still an individual topic regarding definition and strategy in HNSCC N0 Neck STATEMENTS 2008

N0 Neck STATEMENTS 2008 N+ Neck

Extension of ND is still unclear ND as the only treatment (1-2 mets) ? Role of micrometastes ? Radiotherapy > 1 node or > 2 ? Management of persisting LN after RT ? N+ Neck STATEMENTS 2008

A lot of controversies on important questions N+ Neck STATEMENTS 2008

The Neck in squamous cell carcinoma (HNSCC) in cancer of unknown primary in skin cancer in salivary gland cancer in thyroid cancer in the future

The Neck in CUP NO Standards for Staging of CUP Lymph Node Extirpation Followed by ND ? Extension of Radiation Fields ? Radiation after Neck Dissection?

is still an individual topic regarding definition and strategy Neck in CUP STATEMENTS 2008

The Neck in squamous cell carcinoma (HNSCC) in cancer of unknown primary in skin cancer in salivary gland cancer in thyroid cancer in the future

The Neck in Skin Cancer Sentinel Node in melanoma patients (Session 3) Parotideal lymph nodes

The Neck in squamous cell carcinoma (HNSCC) in cancer of unknown primary in skin cancer in salivary gland cancer (Session 14) in thyroid cancer in the future

The Neck in squamous cell carcinoma (HNSCC) in cancer of unknown primary in skin cancer in salivary gland cancer in thyroid cancer (Session 13) in the future

The Neck in squamous cell carcinoma (HNSCC) in cancer of unknown primary in skin cancer in salivary gland cancer in thyroid cancer in the future

Clinical and Basic Research Identification of high risk patients Molecular imaging Sentinel Node (Endoscopically) The Neck - Perspectives Aim for STATEMENTS 2020 (Hamburg) Consensus based on Multicenter Trials

1906 – 2008 RND - MRND

Endoscopic SSND SND MRND SNB SSND RND New more Individual Concepts

The Neck