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Can head and neck cancer patients be discharged after three years?

Published online by Cambridge University Press:  10 October 2013

R Kumar*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Cumberland Infirmary, Carlisle, UK
G Putnam
Affiliation:
Department of Maxillofacial Surgery, Cumberland Infirmary, Carlisle, UK
P Dyson
Affiliation:
Department of Oncology, Cumberland Infirmary, Carlisle, UK
A K Robson
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Cumberland Infirmary, Carlisle, UK
*
Address for correspondence: Mr R Kumar, Department of Otolaryngology–Head and Neck Surgery, Cumberland Infirmary, Newtown Rd, Carlisle CA2 7HY, UK E-mail: [email protected]

Abstract

Background:

Follow-up surveillance of head and neck cancer patients varies throughout the UK. The heterogeneity of these patients limits the applicability of a standardised protocol. Improvements in our understanding of the natural history of the disease may assist in the tailoring of resources to patients.

Method:

Prospective data collected at the Cumberland Infirmary over a 13-year period were analysed, primarily focusing upon recurrence rates and time to recurrence.

Results:

In keeping with other studies, recurrence of head and neck squamous cell carcinoma was found to be maximal within the first three years of treatment, regardless of subsite.

Conclusion:

Hospital-based surveillance may be safely discontinued after three years for some patients. Laryngeal carcinoma may require further surveillance due to possible delayed recurrence of a second primary formation. Emphasis must be placed on patient education, accessibility to head and neck services, and the existence of a robust system to facilitate urgent referrals.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2013 

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