title: Malnutrition and cachexia in patients with head and neck cancer treated with (chemo)radiotherapy.
abstract: OBJECTIVE
  To highlight the problems associated with nutrition that occur in patients with squamous cell carcinoma of the head and neck (SCCHN).
  
  
  BACKGROUND
  SCCHN is associated with weight loss before, during and after radiotherapy or concurrent chemoradiotherapy. Because of serious consequences of malnutrition and cachexia on treatment outcome, mortality, morbidity, and quality of life, it is important to identify SCCHN patients with increased risk for the development of malnutrition and cachexia.
  
  
  METHODS
  Critical review of the literature.
  
  
  RESULTS
  This review describes pathogenesis, diagnosis and treatment of malnutrition and cancer cachexia. Treatment of malnutrition and cancer cachexia includes nutritional interventions and pharmacological therapy. Advantages and disadvantages of different nutritional interventions and their effect on the nutritional status, quality of life and specific oncological treatment are presented.
  
  
  CONCLUSIONS
  Nutritional management is an essential part of care of these patients, including early screening, assessment of nutritional status and appropriate intervention.
authors.affiliation: Department of Radiation Oncology, Institute of Oncology Ljubljana, Zaloška 2, SI-1000 Ljubljana, Slovenia.
authors.forename: Mojca
authors.initials: M
authors.lastname: Gorenc
authors.affiliation: Clinical Nutrition Unit, Institute of Oncology Ljubljana, Zaloška 2, SI-1000 Ljubljana, Slovenia.
authors.forename: Nada Rotovnik
authors.initials: NR
authors.lastname: Kozjek
authors.affiliation: Department of Radiation Oncology, Institute of Oncology Ljubljana, Zaloška 2, SI-1000 Ljubljana, Slovenia.
authors.forename: Primož
authors.initials: P
authors.lastname: Strojan
keywords: Cachexia; Head and neck cancer; Malnutrition; Radiotherapy; Weight loss