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Hypopharynx

Updated: May 2003

The anatomical sites of the hypopharynx are the pyriform fossae, postcricoid region and posterior pharyngeal wall. Most are squamous cell carcinomas.

T1-2 NO Lesions.

These will normally be treated by radiation with surgery for salvage of radiation failure.

T3-4 NO-N3 Lesions

These patients require a multidisciplinary assessment. Options include:

a)

Radiation using either a twice daily or concurrent chemotherapy-radiation regimen.

b)

Combined treatment with:

 

i)

preoperative radiation

 

ii)

primary surgery with postoperative radiation