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TUMOR BOARD DISCUSSION21.02.2014
Mrs. Panchavarnam 55/F
CA TONGUE – LAT. 1/3 rdSTAGE- cT3NOMOHPE—Well diff. sq. cell carcinoma
LOCALLY ADVANCED CA TONGUE
TREATMENT OF CHOICE 1. SURGERY→RT 2. RT→ SURGERY 3. CONCURRENT CHEMORT 4. NEO ADJUVANT CHEMO→CHEMORT
LOCALLY ADVANCED CA TONGUE
SIGNS OF INOPERABILITY 1. POST 1/3 TONGUE INVOLMENT 2. MANDIBLE INVOLMENT 3. COSMETIC/ FUNCTIONAL 4. ALL THE ABOVE
LOCALLY ADVANCED CA TONGUE
SURGERY 1. TRANSORAL 2. MANDIBULOTOMY
LOCALLY ADVANCED CA TONGUE
MANAGEMENT OF NECK 1. FOLLOW UP 2. RT 3. RADICAL NECK DISSECTION
LOCALLY ADVANCED CA TONGUE
NECK DISSECTION 1. RADICAL NECK DISSECTION 2. SELECTIVE NECK DISSECTION 3. SUPER SELECTIVE NECK
DISSECTION
LOCALLY ADVANCED CA TONGUE
RT 1. CONVENTIONAL RT 2. HYPERFRACTIONATED RT 3. ACCLERATED RT
LOCALLY ADVANCED CA TONGUE
RT TECHNIQUE 1. CONVENTIONAL 2. IMRT 3. PROTON THERAPY
LOCALLY ADVANCED CA TONGUE
CHEMO 1. PLATINUM BASED DOUBLETS 2. TPF 3. TPF⁺TARGETED AGENTS
LOCALLY ADVANCED CA TONGUE
EGFR DETECTION 1. IHC 2. OVER EXPRESSION 3. MUTATIONS 4. K RAS MUTATIONS
LOCALLY ADVANCED CA TONGUE
TARGETED AGENTS 1. CETUXIMAB 2. LAPATINIB 3. PANITUMUMAB 4. NIMOTUZUMAB 5. BEVACIZUMAB 6. EROLITINIB 7. GEFTINIB
LOCALLY ADVANCED CA TONGUE
HPV DETECTION 1. YES 2. NO 3. MAY BE
