title: Guidelines of the French Society of Otorhinolaryngology (SFORL), short version. Diagnosis of local recurrence and metachronous locations in head and neck oncology.
abstract: Surveillance is fundamental to the management of head and neck cancer. The present guidelines of the French ENT society (SFORL) were drawn up by a group of experts in the field, and are intended to specify the modalities of management, based on a review of the literature and, where data are lacking, to provide expert opinion. The present paper deals with guidelines for the diagnosis of local and regional recurrence and metachronous head and neck locations. Locoregional recurrence usually occurs within 3 years of primary treatment and is mainly related to the characteristics of the primary tumor and the treatment measures taken. Laryngeal location, safe primary resection margins, low level of lymph node invasion, unimodal primary treatment and early diagnosis of recurrence are factors of good prognosis. Systematic imaging surveillance may be considered for patients for whom a curative technique exists and when surveillance is difficult. The role of PET-scanning remains to be determined. Metachronous locations are frequent, even in the late course; prolonged surveillance is appropriate. The best preventive measure is cessation of alcohol abuse and smoking. Patient education is primordial.
authors: Service d'ORL, Hôpital Bichat Claude-Bernard, AP-HP, 46, rue Henri-Huchard, 75018 Paris, France. Electronic address: caroline.halimi@bch.aphp.fr.
authors: C
authors: C
authors: Halimi
authors: Service d'ORL, Hôpital Bichat Claude-Bernard, AP-HP, 46, rue Henri-Huchard, 75018 Paris, France.
authors: B
authors: B
authors: Barry
authors: Service d'ORL, Centre François-Baclesse, 3, avenue Général-Harris, 14076 Caen cedex 05, France.
authors: D
authors: D
authors: De Raucourt
authors: Service d'ORL, Hôpital Charles-Nicolle, 1, rue Germont, 76031 Rouen cedex, France.
authors: O
authors: O
authors: Choussy
authors: Service d'oncologie et de radiothérapie, Hôpital Européen Georges-Pompidou, AP-HP, 20-40, rue Leblanc, 75908 Paris cedex 15, France.
authors: B
authors: B
authors: Dessard-Diana
authors: Service d'ORL, Hôpital Européen Georges-Pompidou, AP-HP, 20-40, rue Leblanc, 75908 Paris cedex 15, France.
authors: S
authors: S
authors: Hans
authors: Service d'ORL, Centre hospitalier de Périgueux, 80, avenue Georges-Pompidou, CS 61205, 24019 Périgueux cedex, France.
authors: D
authors: D
authors: Lafarge
mesh_terms: D000428:Alcohol Drinking / Q000009:adverse effects; D003952:Diagnostic Imaging; D042241:Early Diagnosis; D004724:Endoscopy; D005602:France; D006258:Head and Neck Neoplasms / Q000175:diagnosis* / Q000401:mortality / Q000628:therapy; D006801:Humans; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis* / Q000401:mortality; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects
keywords: HPV; Head and neck cancer; Imaging; Recurrence; Screening; Second location; Surveillance