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Multiple synchronous carcinoma of the aero-digestive tract

Published online by Cambridge University Press:  29 June 2007

Andrew McCombe ,
Valerie J. Lund  and
David J. Howard
Andrew McCombe
Affiliation:
Senior House Officer and
Valerie J. Lund*
Affiliation:
Senior Lecturer, Professorial Unit, Institute of Laryngology and Otology, Gray's Inn Road, London WC1X 8DA
David J. Howard
Affiliation:
Senior Lecturer, Professorial Unit, Institute of Laryngology and Otology, Gray's Inn Road, London WC1X 8DA
*
Valerie J. Lund, M.S., F.R.C.S., Professional Unit, Institute of Laryngology and Otology, Gray's Inn Road, London WCIX 8DA.
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Abstract

Multiple carcinoma of the upper aerodigestive tract is an increasingly recognized problem, and a concept of ‘field cancerization’ has been proposed to explain this phenomena. The initial assessment of a patient with an isolated aerodigestive carcinoma must be extensive so as not to miss any synchronous lesions, and may include radiography and endoscopy. Treatment cannot be standardised but must be tailored to suit individual problems and because of the high incidence of metachronous tumours, follow-up must be both thorough and ‘lifelong’.

A case of three primary synchronous squamous carcinomas of the upper aerodigestive tract is presented. The relevant literature is reviewed.

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 8 , August 1989 , pp. 794 - 795
Copyright
Copyright © JLO (1984) Limited 1989

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