Patient Selection for Transoral Robotic Surgery (TORS) in Oropharyngeal Squamous Cell Carcinoma
Autor: | Joshua D. Waltonen, Ryan T. Hughes, Paul M. Bunch, Mercedes Porosnicu, Hafiz S. Patwa |
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Rok vydání: | 2021 |
Předmět: |
Surgical resection
medicine.medical_specialty business.industry Treatment regimen General surgery Cancer medicine.disease 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Transoral robotic surgery Adjuvant therapy medicine Radiology Nuclear Medicine and imaging Oropharyngeal squamous cell carcinoma business 030217 neurology & neurosurgery Selection (genetic algorithm) Preoperative imaging |
Zdroj: | Topics in Magnetic Resonance Imaging. 30:117-130 |
ISSN: | 1536-1004 0899-3459 |
Popis: | Transoral robotic surgery (TORS) is an excellent treatment strategy for well-selected patients with oropharyngeal squamous cell carcinoma. Potential benefits of TORS are greatest among patients for whom surgical resection will reduce or eliminate the need for adjuvant therapy. Proper patient selection largely depends on imaging, which is used to determine tumor resectability, to inform expected morbidity and functional outcome, to assess the potential need for adjuvant therapy, to evaluate for vascular or other anatomic contraindications, and to gauge adequacy of transoral access to the tumor. This article provides the radiologist with a practical and accessible approach to interpreting preoperative imaging among patients with oropharyngeal cancer, emphasizing what the surgeon wants to know to inform the determination of whether the patient is a TORS candidate and why this information is important. By accurately reporting this information, the radiologist facilitates the multidisciplinary care team's selection of a treatment regimen optimized for the circumstances of the individual patient. |
Databáze: | OpenAIRE |
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