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A Nordic survey on the management of head and neck CUP
Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Otorhinolaryngology in Linköping.
Uppsala University, Sweden.
University of Helsinki, Finland; Helsinki University Hospital, Finland; Karolinska Institute, Sweden.
2016 (English)In: Acta Oto-Laryngologica, ISSN 0001-6489, E-ISSN 1651-2251, Vol. 136, no 11, 1159-1163 p.Article in journal (Refereed) Published
Abstract [en]

Conclusion: The management of Head and Neck Cancer of Unknown Primary (HNCUP) patients varies both between centres within and also between the Nordic countries. This study contributes to a continuing discussion of how to improve the accuracy of diagnosis and quality of treatment of HNCUP patients.Objectives: The initiative for this study was based on the lack of common guidelines for diagnostic procedures and for treatment of HNCUP patients in the Nordic countries constituting a region having a rather homogeneous population.Method: A structured questionnaire was sent to all university hospitals in the five Nordic countries.Results: Four of the five Nordic countries use either national guidelines or specific protocols when handling HNCUP. The main diagnostic tools are PET-CT, fine needle aspiration, endoscopic evaluation with biopsies, and most often bilateral tonsillectomy. At 21 of 22 university hospitals the treatment decision is made at a multidisciplinary conference. Three of seven Swedish centres use only radiotherapy or chemoradiotherapy to treat N+ HNCUP patients. Robotic surgery for biopsy of the tongue base is beginning to become an alternative to targeted biopsies in Sweden and Finland. Narrow Band Imaging is used only in Finland.

Place, publisher, year, edition, pages
TAYLOR & FRANCIS LTD , 2016. Vol. 136, no 11, 1159-1163 p.
Keyword [en]
Cancer of unknown origin; follow up; multidisciplinary tumour board meeting; PET-CT
National Category
Surgery
Identifiers
URN: urn:nbn:se:liu:diva-132652DOI: 10.1080/00016489.2016.1193894ISI: 000386069300014PubMedID: 27310467OAI: oai:DiVA.org:liu-132652DiVA: diva2:1048386
Available from: 2016-11-21 Created: 2016-11-18 Last updated: 2016-12-07

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Farnebo, Lovisa
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Division of Neuro and Inflammation ScienceFaculty of Medicine and Health SciencesDepartment of Otorhinolaryngology in Linköping
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Acta Oto-Laryngologica
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