Oral cavity cancer management guidelines for low-resource regions.
developing country
guidelines
low-resource
oral cancer
oral cavity
Journal
Head & neck
ISSN: 1097-0347
Titre abrégé: Head Neck
Pays: United States
ID NLM: 8902541
Informations de publication
Date de publication:
03 2019
03 2019
Historique:
received:
01
12
2017
revised:
24
07
2018
accepted:
12
09
2018
pubmed:
23
1
2019
medline:
8
10
2020
entrez:
23
1
2019
Statut:
ppublish
Résumé
The diagnosis and management of oral cavity cancer has been well described in developed countries, however, in regions with fewer medical resources, alternative methods may need to be used. We outline an approach to evaluation and treatment of oral cavity cancer in low-resource areas. Reviews of the Cochrane and Pubmed databases were performed and literature compiled. Expert opinions from the American and African Head and Neck Societies were also provided. Treatment guidelines for managing oral cavity cancer in low-resource regions are outlined and the level of supporting evidence is defined. Successful treatment typically involves the use of upfront surgical resection of the primary lesion and any involved or at-risk cervical lymph node basins, with adjuvant therapy based on the final pathology findings. In situations where services such as adjuvant therapy and/or appropriate reconstruction are not available, alternative approaches to treatment may be needed.
Sections du résumé
BACKGROUND
The diagnosis and management of oral cavity cancer has been well described in developed countries, however, in regions with fewer medical resources, alternative methods may need to be used. We outline an approach to evaluation and treatment of oral cavity cancer in low-resource areas.
METHODS
Reviews of the Cochrane and Pubmed databases were performed and literature compiled. Expert opinions from the American and African Head and Neck Societies were also provided.
RESULTS
Treatment guidelines for managing oral cavity cancer in low-resource regions are outlined and the level of supporting evidence is defined.
DISCUSSION
Successful treatment typically involves the use of upfront surgical resection of the primary lesion and any involved or at-risk cervical lymph node basins, with adjuvant therapy based on the final pathology findings. In situations where services such as adjuvant therapy and/or appropriate reconstruction are not available, alternative approaches to treatment may be needed.
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
799-812Subventions
Organisme : American Head and Neck Society
Pays : International
Informations de copyright
© 2019 Wiley Periodicals, Inc.