The Neck

Jochen A. Werner

Marburg, Germany

The Neck

• in squamous cell carcinoma (HNSCC)

• in cancer of unknown primary

• in skin cancer

• in salivary gland cancer

• in thyroid cancer

• in the future

The Neck

• in squamous cell carcinoma (HNSCC)

• in cancer of unknown primary

• in skin cancer

• in salivary gland cancer

• in thyroid cancer

• in the future

The prognostic factor in head and neck cancer

The Neck

STATEMENTS 2008

N0 Neck

STATEMENTS 2008

N+ Neck

• NO Definition of N0 neck ! Standards in Staging

N0 Neck

STATEMENTS 2008

• NO Sufficient Data for Sentinel Node

• NO Proven Selection Criteria for Wait and See

• NO Consensus about the Extent of SND

is still an individual topic regarding definition and strategy in HNSCC

N0 Neck

STATEMENTS 2008

N0 Neck

STATEMENTS 2008

N+ Neck

• Extension of ND is still unclear

• ND as the only treatment (1-2 mets) ?

• Role of micrometastes ?

• Radiotherapy > 1 node or > 2 ?

• Management of persisting LN after RT ?

N+ Neck

STATEMENTS 2008

A lot of controversies on important questions

N+ Neck

STATEMENTS 2008

The Neck

• in squamous cell carcinoma (HNSCC)

• in cancer of unknown primary

• in skin cancer

• in salivary gland cancer

• in thyroid cancer

• in the future

The Neck in CUP

• NO Standards for Staging of CUP

• Lymph Node Extirpation Followed by ND ?

• Extension of Radiation Fields ?

• Radiation after Neck Dissection?

is still an individual topic regarding definition and strategy

Neck in CUP

STATEMENTS 2008

The Neck

• in squamous cell carcinoma (HNSCC)

• in cancer of unknown primary

• in skin cancer

• in salivary gland cancer

• in thyroid cancer

• in the future

The Neck in Skin Cancer

• Sentinel Node in melanoma patients (Session 3)

• Parotideal lymph nodes

The Neck

• in squamous cell carcinoma (HNSCC)

• in cancer of unknown primary

• in skin cancer

• in salivary gland cancer (Session 14)

• in thyroid cancer

• in the future

The Neck

• in squamous cell carcinoma (HNSCC)

• in cancer of unknown primary

• in skin cancer

• in salivary gland cancer

• in thyroid cancer (Session 13)

• in the future

The Neck

• in squamous cell carcinoma (HNSCC)

• in cancer of unknown primary

• in skin cancer

• in salivary gland cancer

• in thyroid cancer

• in the future

Clinical and Basic Research

• Identification of high risk patients

• Molecular imaging

• Sentinel Node (Endoscopically)

The Neck - Perspectives

Aim for STATEMENTS 2020 (Hamburg)

Consensus based on Multicenter Trials

1906 – 2008

RND - MRND

Endoscopic SSND

SND

MRND

SNB

SSND

RND

New more

Individual

Concepts

The Neck