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 |