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Reviewing indications for panendoscopy in the investigation of head and neck squamous cell carcinoma

Published online by Cambridge University Press:  05 October 2018

A Noor ,
L Stepan ,
S S-T Kao ,
N Dharmawardana ,
E H Ooi ,
J-C Hodge ,
S Krishnan  and
A Foreman
A Noor*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Royal Adelaide Hospital and University of Adelaide, Australia
L Stepan
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Royal Adelaide Hospital and University of Adelaide, Australia
S S-T Kao
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Flinders Medical Centre, Adelaide, Australia
N Dharmawardana
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Flinders Medical Centre, Adelaide, Australia
E H Ooi
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Flinders Medical Centre, Adelaide, Australia
J-C Hodge
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Royal Adelaide Hospital and University of Adelaide, Australia
S Krishnan
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Royal Adelaide Hospital and University of Adelaide, Australia
A Foreman
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Royal Adelaide Hospital and University of Adelaide, Australia
*
Author for correspondence: Dr A Noor, Department of Otolaryngology, Head and Neck Surgery, Royal Adelaide Hospital, Port Road, Adelaide, SA 5000, Australia E-mail: [email protected]
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Abstract

Background

The role of panendoscopy in the modern investigation of head and neck cancer is changing with the development of improved radiological techniques, in-office biopsy capabilities and the low rate of synchronous primary tumours. This study aimed to review the indications for panendoscopy in the investigation of newly diagnosed head and neck cancer.

Method

A retrospective review was conducted of 186 patients with newly diagnosed head and neck cancer, between January 2014 and December 2015, at two tertiary centres.

Results

Obtaining a tissue diagnosis was the most common indication for panendoscopy (65 per cent), followed by surgical planning including transoral robotic surgery suitability assessment (22.6 per cent), and the investigation of carcinoma of an unknown primary (11.3 per cent). Two synchronous primary tumours were identified, generating a yield of 1.1 per cent.

Conclusion

Panendoscopy remains integral in the assessment of transoral robotic surgery suitability. Refining indications for modern panendoscopy could reduce the need for this procedure in this cohort of patients.

Keywords

Head And Neck CancerEndoscopySynchronous NeoplasmsSquamous Cell Carcinoma
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 10 , October 2018 , pp. 901 - 905
Copyright
Copyright © JLO (1984) Limited, 2018 

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Footnotes

Dr A Noor takes responsibility for the integrity of the content of the paper

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