Laryngeal cancer secondary prevention

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Faizan Sheraz, M.D. [2]

## Overview

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Secondary prevention measures of laryngeal cancer include routine physical examination and imaging at scheduled intervals after treatment. Dental screening and screening for thyroid cancers are recommended among patients who had received radiation therapy to the oral cavity and cervical region, respectively.

## Secondary Prevention

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### Follow up after treatment

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Patients treated for laryngeal carcinoma should follow-up for secondary prevention. Follow-up measures are shown in the table below:[1]

Follow up | Description

Physical exam

* Every 1-3 months during the 1st year after treatment
* Every 2-6 months during the 2nd year after treatment
* Every 4-8 months between the 3rd and 5th years after treatment
* Annually thereafter

Nasendoscopy

* Immediately following radiation therapy

CT Scan/MRI

* Imaging studies are performed at routine intervals as follows:

* Baseline scanning is performed at 3-6 months after treatment, further scans are scheduled based on finding of physical exam and symptoms experienced by the patient
* Scanning for asymptomatic patients is not recommended

Thyroid hormone testing

* Thyroid stimulating hormone testing every 12 months if the neck was exposed to radiation

Dental screening

* Only recommended if oral cavity was exposed to radiation

## References

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1. ↑ Pfister DG, Ang KK, Brizel DM, Burtness BA, Busse PM, Caudell JJ; et al. (2013). "Head and neck cancers, version 2.2013. Featured updates to the NCCN guidelines". J Natl Compr Canc Netw. 11 (8): 917–23. PMID 23946171.CS1 maint: Explicit use of et al. (link) CS1 maint: Multiple names: authors list (link)

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