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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 on theme: "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."— Presentation transcript:

1 The Neck Jochen A. Werner Marburg, Germany

2 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

3 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

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

5 N0 Neck STATEMENTS 2008 N+ Neck

6 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

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

8 N0 Neck STATEMENTS 2008 N+ Neck

9 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

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

11 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

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

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

14 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

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

16 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

17 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

18 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

19 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

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23 1906 – 2008 RND - MRND

24 Endoscopic SSND SND MRND SNB SSND RND New more Individual Concepts

25 The Neck


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