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ŠVAJDOVÁ, Michaela, Marián SIČÁK, Pavol DUBINSKÝ, Marek SLÁVIK, Pavel ŠLAMPA and Tomáš KAZDA. Recurrent Nasopharyngeal Cancer: Critical Review of Local Treatment Options Including Recommendations during the COVID-19 Pandemic. Cancers. BASEL: MDPI, 2020, vol. 12, No 12, p. 1-19. ISSN 2072-6694.
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Basic information
Original name Recurrent Nasopharyngeal Cancer: Critical Review of Local Treatment Options Including Recommendations during the COVID-19 Pandemic
Authors ŠVAJDOVÁ, Michaela, Marián SIČÁK, Pavol DUBINSKÝ, Marek SLÁVIK, Pavel ŠLAMPA and Tomáš KAZDA.
Edition Cancers, BASEL, MDPI, 2020, 2072-6694.
Other information
Original language English
Type of outcome Article in a journal
Country of publisher Switzerland
Confidentiality degree is not subject to a state or trade secret
WWW URL
Organization Lékařská fakulta - Repository
UT WoS 000601666500001
Keywords in English nasopharyngeal cancer; recurrence; salvage surgery; re-irradiation; toxicity
Changed by Changed by: RNDr. Daniel Jakubík, učo 139797. Changed: 14/1/2021 01:39.
Abstract
Options for the curative treatment of locally recurrent nasopharyngeal carcinoma include surgery or re-irradiation. Both approaches have been scientifically explored, yet there is no consensus on the indication or definitive preference of the above two salvage treatments. The aim of this review is to summarize the current evidence on the local treatment of recurrent nasopharyngeal carcinoma. The feasibility, safety, and efficacy of salvage surgery and radical re-irradiation are discussed. Recommendations on treatment modifications during the coronavirus disease 2019 pandemic are included as well. Recurrent nasopharyngeal carcinoma represents an extremely challenging therapeutic situation. Given the vulnerability of the already pretreated neurological structures surrounding the nasopharynx, any potential salvage retreatment option bears a significant risk of severe complications that result in high treatment-related morbidity, quality of life deterioration, and even mortality. Yet, with careful patient selection, long-term survival may be achieved after local retreatment in a subgroup of patients with local or regional relapse of nasopharyngeal cancer. Early detection of the recurrence represents the key to therapeutic success, and in the case of early stage disease, several curative treatment options can be offered to the patient, albeit with minimal support in prospective clinical data. In this article, an up-to-date review of published evidence on modern surgical and radiation therapy treatment options is summarized, including currently recommended treatment modifications of both therapeutic approaches during the coronavirus disease 2019 pandemic.
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cancers-12-03510.pdf   File version 26/11/2020

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  • a concrete person Mgr. Lucie Vařechová, uco 106253
  • a concrete person RNDr. Daniel Jakubík, uco 139797
  • a concrete person Mgr. Jolana Surýnková, uco 220973
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