MULTI-DISCIPLINARY MANAGEMENT OF CUTANEOUS CANCER METASTASES IN THE HEAD AND NECK REGION
Authors:
Flavio Andrea Govoni, Filippo Pica, Resi Pucci*, Emilia Migliano, Vincenzo Antonio Marcelli, Roberto Pistilli, Ikenna Valentine Aboh, Carlo Macro, Bruno Andrea Pesucci
Affiliation:
Department Of Maxillofacial Surgery, Aco San Camillo-Forlanini, It-00152 Rome, Italy (Chief Of Department Prof. B. A. Pesucci)
Department Of Plastic And Reconstructive Surgery, San Gallicano Dermatological Institute, Irccs, It-00144 Rome, Italy (Chief Of Department Dr. E. Migliano)
Doi: 10.54936/haoms242p72
ABSTRACT:
In treatment guidelines for “Non Melanoma Skin-Cancer or NMSCs” often the aggressiveness of the tumor and its potential for loco-regional metastatic spread are underestimated and subject to divergent discussions compared to “Melanoma Skin Cancer or MSC”.
Regarding melanoma, risk factors and types of lymph node spread have been identified with major diagnostic and prognostic significance, which has produced a constant and refined evolution of modern diagnostic and care pathways.
Over the past few years, these staging concepts are slowly taking root and spreading in the management of NMSCs, partly due to the constant increase in comorbidities and in the average age of patients, which makes a multidisciplinary treatment approach advisable, evaluating risks and complications of radical surgical exeresis in terms of survival and quality of life in frail patients.
The authors present their most recent experience in managing patients with advanced stages of cutaneous neoplastic disease, highlighting how a multidisciplinary approach that considers risk factors, biological aggressiveness of the disease, patient’s clinical history, biological age, and associated comorbidities allows for the identification of the best treatment in terms of radicality, aesthetic and functional outcome, particularly in frail patients.
KEY WORDS:
Authors:
Flavio Andrea Govoni, Filippo Pica, Resi Pucci*, Emilia Migliano, Vincenzo Antonio Marcelli, Roberto Pistilli, Ikenna Valentine Aboh, Carlo Macro, Bruno Andrea Pesucci
Affiliation:
Department Of Maxillofacial Surgery, Aco San Camillo-Forlanini, It-00152 Rome, Italy (Chief Of Department Prof. B. A. Pesucci)
Department Of Plastic And Reconstructive Surgery, San Gallicano Dermatological Institute, Irccs, It-00144 Rome, Italy (Chief Of Department Dr. E. Migliano)
Doi: 10.54936/haoms242p72
ABSTRACT:
In treatment guidelines for “Non Melanoma Skin-Cancer or NMSCs” often the aggressiveness of the tumor and its potential for loco-regional metastatic spread are underestimated and subject to divergent discussions compared to “Melanoma Skin Cancer or MSC”.
Regarding melanoma, risk factors and types of lymph node spread have been identified with major diagnostic and prognostic significance, which has produced a constant and refined evolution of modern diagnostic and care pathways.
Over the past few years, these staging concepts are slowly taking root and spreading in the management of NMSCs, partly due to the constant increase in comorbidities and in the average age of patients, which makes a multidisciplinary treatment approach advisable, evaluating risks and complications of radical surgical exeresis in terms of survival and quality of life in frail patients.
The authors present their most recent experience in managing patients with advanced stages of cutaneous neoplastic disease, highlighting how a multidisciplinary approach that considers risk factors, biological aggressiveness of the disease, patient’s clinical history, biological age, and associated comorbidities allows for the identification of the best treatment in terms of radicality, aesthetic and functional outcome, particularly in frail patients.
KEY WORDS: