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Head and Neck Tumors (HNT)

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No 1 (2014)
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https://doi.org/10.17650/2222-1468-2014-0-1

DIAGNOSIS AND TREATMENT OF HEAD AND NECK TUMORS

4-10 706
Abstract

The article is determined to the analysis of different types of plastic reconstruction of the external nose with local and combine flaps after radical surgery in oncology. Reconstruction of the external nose is discussed under consideration of experience of our research center, which includes surgical treatment of 35 oncologic patients.

11-14 657
Abstract
The paper analyzes the results of treatment in patients with papillary thyroid cancer, by applying a great deal of clinical material. Different prognostic factors have been studied for their influence on the survival of the patients after surgical treatment. The most optimal treatment policy is proposed to be defined for patients with this form of cancer on the basis of the association between the above factors.
15-23 711
Abstract
The cryogenic treatment results that have no analogues in Russian and foreign practice were analyzed in 121 patients with tongue cancer. The data on survival rates were used to objectively evaluate the efficiency of tongue cancer cryodestruction in accordance with the extent and pattern of a tumor process. Analysis of long-term (5–30-years) results indicated the efficiency of cryodestruction used alone and in combination with radiation and drug therapies in 83.6 % of the new-onset patients and in 73.3 % of the patients with circumscribed recurrences and residual tumors. Recurrent cancer occurred in 19.3 % of 109 patients who had completed treatment: in 16.4 % of the new-onset patients and in 26.7 % of the patients with recurrences and uncured tumors. Local complications from the wound occurred in 6.6 % of the patients and were abolished in the postoperative period.
24-29 806
Abstract

The study included 314 patients with recurrent squamous cell carcinoma of the oral cavity and oropharynx after radical treatment. Patients were divided into groups depending on the timing – patients with early recurrence (n = 162), and late recurrence (n = 152 ), and depending on the type of treatment of recurrent tumors: conservative treatment group (n = 56 ), surgical (n = 235) and combined treatment (n = 23) group. A comparative evaluation of the effectiveness of the treatment of these patients based on the results of treatment, survival rates, the frequency and severity of complications. The conservative therapy of recurrent tumors of the oral cavity if surgical treatment is impossible is effective, especially in cases of late recurrent tumors but only surgical or combined treatment may reach the five-year survival rate in patients with recurrent tumor, cancer of the oral cavity and oropharynx.

REVIEWS

30-37 889
Abstract
The paper describes the current principles of the classification, diagnosis, and treatment of extraorgan neck tumors and the prevention of intraoperative neurovascular complications.

ORIGINAL REPORTS

38-42 618
Abstract
The authors analyzed the long-term results of standard radiotherapy (RT) in 153 patients and those of concomitant photon-neuron therapy (CPNT) in 24 patients in the combined treatment programs. The use of densely ionizing radiation in combined palliative programs for radio-resistant tumors, that include brain metastases, increased survival and improved quality of life. The survival after CPNT was 10–24 months in all the treatment programs: in the control group, that after RT and combined treatment was 4–6 and 7–11 months, respectively.

CASE REPORTS

43-46 698
Abstract
The article tells about the possibilities of recovering of cicatricial deformities and extensive defects of external nose with the using of paramedian forehead flap and free rib cartilage. Despite its antiquity, this method is still relevant, providing a good cosmetic and functional results.
47-49 759
Abstract
The paper presents the specific features of the diagnosis and treatment of thyroid cancer metastases to parapharyngeal lymph nodes.
50-54 641
Abstract

The use of the oncological principle – en bloc ablastic tumor resection – can expect a breakthrough in the treatment of baseline unfavorable patient groups. In the described case of atypical meningioma, its en bloc resection presents significant technical difficulties when accomplishing the task associated with the giant sizes of a tumor as an iceberg growing outside and into the cranial cavity, its rich vascularization from both the internal and external carotid artery system, with the involvement of the superior sagittal sinus, the presence of a dense bone crown that combines the three-component construction of a neoplasm, which made difficult safe mobilization and scanning in the cranial cavity.

In such topographic variants, the criteria for the Simpson radical meningioma resection are inapplicable and only en bloc tumor resection may reflect the oncological principles of surgery. The technologies of en bloc resection of intracranial meningiomas should be more frequently used because preoperative neurovisualization and even histological diagnosis does not always allow the grade of meningiomas to be specified.


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ISSN 2222-1468 (Print)
ISSN 2411-4634 (Online)