More than half a million patients receive the diagnosis of squamous-cellcarcinoma of the head and neck worldwide each year. In thisdisease, which primarily affects the oropharynx, oral cavity,hypopharynx, and larynx, smoking and alcohol abuse are majorrisk factors. Symptoms vary, depending on the site of origin,and can include a sore throat, dysphagia, odynophagia, and hoarseness.On examination, patients often have an identifiable primarysite and a palpable neck mass. A multidisciplinary approachis important in treating these patients, given the complexityof the treatment and the acute and long-term complications thatresult from chemotherapy, radiation therapy, . . . [Full Text of this Article]
Molecular Progression
Signal Transduction of EGFR
HPV and Antitumor Vaccine
Treatment
Strategies for Therapy
Concurrent Chemoradiotherapy
Definitive Chemoradiotherapy
Postoperative Chemoradiotherapy
Sequential Chemoradiotherapy
Docetaxel, Cisplatin, and Fluorouracil
Induction Therapy
Toxic Effects
Pros and Cons of Induction Therapy
Cetuximab
Role of Biologic Agents
With Radiation Therapy
After Recurrence
Future Directions
Source Information
From the Department of Medical Oncology, Dana–Farber Cancer Institute; the Department of Medicine, Brigham and Women's Hospital; and the Department of Medicine, Harvard Medical School — all in Boston (R.I.H.); and the Department of Hematology–Oncology, Winship Cancer Institute, Emory University, Atlanta (D.M.S.).
Address reprint requests to Dr. Haddad at the Dana–Farber Cancer Institute, 44 Binney St., Boston, MA 02115, or at robert_haddad@dfci.harvard.edu.
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