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The Neck

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

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The Neck

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

  5. STATEMENTS 2008 N0 Neck N+ Neck

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

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

  8. STATEMENTS 2008 N0 Neck N+ Neck

  9. 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 ?

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

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

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

  20. Int. Symposium on Endoscopic Neck Surgery Marburg, November 21-22, 2008

  21. 1906 – 2008 RND - MRND

  22. RND MRND New more Individual Concepts SND SSND SNB Endoscopic SSND

  23. The Neck

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