CC BY-NC-ND 4.0 · Laryngorhinootologie 2019; 98(S 02): S255
DOI: 10.1055/s-0039-1685957
Poster
Oncology

Synchronous second tumors in case of panendoscopy with evidence of oral carcinoma at a certified tumor center

S Balster
1   HNO Klinik der Uniklinik Frankfurt, Frankfurt/M.
,
A Teiler
2   Klinik für Mund-, Kiefer- und Plastische Gesichtschirurgie, Universitätsklinikum Frankfurt, Frankfurt/M.
,
T Neumayer
3   Klinik für Hals-, Nasen-, Ohrenheilkunde, Universitätsklinikum Frankfurt am Main, Frankfurt/M.
,
R Sader
2   Klinik für Mund-, Kiefer- und Plastische Gesichtschirurgie, Universitätsklinikum Frankfurt, Frankfurt/M.
,
T Stöver
3   Klinik für Hals-, Nasen-, Ohrenheilkunde, Universitätsklinikum Frankfurt am Main, Frankfurt/M.
,
S Ghanaati
2   Klinik für Mund-, Kiefer- und Plastische Gesichtschirurgie, Universitätsklinikum Frankfurt, Frankfurt/M.
› Author Affiliations
 

Introduction:

The establishment of head and neck tumor centers serves the structured improvement of the treatment of tumor patients. The centers must meet the requirements for obtaining the certification. One of the measures is the use of panendoscopies in primary diagnosed oral carcinomas to rule out a synchronous second carcinoma. A panendoscopy is a surgical procedure in intubation anesthesia with the corresponding risks and costs. The aim of this study is to determine the rate of synchronous second carcinomas.

Method:

From 2015 – 2018, 161 panendoscopies (primary cases, recurrences, follow-up) were performed at our center on maxillofacial surgery patients. A retrospective analysis based on the patient files was carried out and the occurrence of secondary carcinomas in the head and neck area was determined.

Results:

Secondary carcinoma was found in a total of 6 patients (3.5%). Three men from the primary case group (3.1%), 1 from the recurrence group (4.5%), 2 men from the follow up group (10%) were positive.

Conclusion:

The available data suggest that the incidence of synchronous second carcinomas reported in the literature at the time of initial diagnosis of oral carcinoma in our center could not be proven.

It has to be discussed whether flexible endoscopy in addition to imaging procedures on awake patients does not make more sense with regard to the risks, the organizational effort and thus possibly the start of treatment. Further multicenter studies on larger patient groups are needed to verify the data of the present study.



Publication History

Publication Date:
23 April 2019 (online)

© 2019. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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