title: Pre-therapeutic histological and cytological assessment in head and neck squamous cell carcinomas. French Society of Otorhinolaryngology Guidelines--2012.
abstract: OBJECTIVE
  The authors present the French Society of Otorhinolaryngology (SFORL) guidelines for histopathologic assessment of head and neck cancer.
  
  
  METHODS
  [corrected] A multidisciplinary workgroup set up by the SFORL performed an exhaustive review of the literature according to levels of evidence, following the 2000 guidelines of the French national health approvals and assessment agency (ANAES).
  
  
  RESULTS
  Comparison between histologic and clinical data is essential. In case of discrepancy between clinical, radiological and histological findings, reinterpretation or new biopsy may be required (professional consensus). Mere suspicion of carcinoma on fine-needle aspiration lymph-node biopsy only exceptionally warrants aggressive treatment (professional consensus). Exploration for HPV is not recommended as routine practice, being without therapeutic impact (professional consensus). Anti-p16 immunohistochemistry is optional, for epidemiological purposes (professional consensus). Tumor-bank tissue storage must conform strictly to prevailing legislation and good practice rules for sampling and preservation (professional consensus).
  
  
  CONCLUSIONS
  Pathology assessment is mandatory in suspected H&N squamous cell carcinoma. The present guidelines are intended to optimize management.
authors.affiliation: Service d'anatomie et cytologie pathologiques, hôpital européen Georges-Pompidou, AP-HP, faculté Paris-Descartes, 20, rue Leblanc, 75908 Paris cedex 15, France. cecile.badoual@egp.aphp.fr
authors.forename: C
authors.initials: C
authors.lastname: Badoual
authors.forename: C
authors.initials: C
authors.lastname: Righini
authors.forename: B
authors.initials: B
authors.lastname: Barry
authors.forename: C
authors.initials: C
authors.lastname: Bertolus
authors.forename: S
authors.initials: S
authors.lastname: Nadéri
authors.forename: S
authors.initials: S
authors.lastname: Morinière
authors.forename: D
authors.initials: D
authors.lastname: de Raucourt
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000473:pathology* / Q000628:therapy; D006258:Head and Neck Neoplasms / Q000473:pathology* / Q000628:therapy; D006801:Humans