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1 results

  • Can head and neck cancer patients be discharged after three years?

  • R Kumar, G Putnam, P Dyson, A K Robson
  • Journal:
    The Journal of Laryngology & Otology / Volume 127 / Issue 10 / October 2013
    Published online by Cambridge University Press:
    10 October 2013, pp. 991-996
    Print publication:
    October 2013
  • Background:

    Follow-up surveillance of head and neck cancer patients varies throughout the UK. The heterogeneity of these patients limits the applicability of a standardised protocol. Improvements in our understanding of the natural history of the disease may assist in the tailoring of resources to patients.

    Method:

    Prospective data collected at the Cumberland Infirmary over a 13-year period were analysed, primarily focusing upon recurrence rates and time to recurrence.

    Results:

    In keeping with other studies, recurrence of head and neck squamous cell carcinoma was found to be maximal within the first three years of treatment, regardless of subsite.

    Conclusion:

    Hospital-based surveillance may be safely discontinued after three years for some patients. Laryngeal carcinoma may require further surveillance due to possible delayed recurrence of a second primary formation. Emphasis must be placed on patient education, accessibility to head and neck services, and the existence of a robust system to facilitate urgent referrals.