Care at the Close of Life: Evidence and Experience
Stephen J. McPhee, Margaret A. Winker, Michael W. Rabow, Steven Z. Pantilat, Amy J. Markowitz
Part C Disease Management
Chapter 18. Palliative Care for Patients With Head and Neck Cancer: “I Would Like a Quick Return to a Normal Lifestyle”
Nathan E. Goldstein, MD, Eric Genden, MD, Sean Morrison, MD
Sections:
The Patient's Story, Perspectives, Conclusion, The End of the Story, Methods to Update This Chapter, Resources, References, Chapter Glossary Terms
Topics Discussed:
head and neck cancer
Excerpt:
"Mr K is a 57-year-old financial analyst with a long history of
precancerous and cancerous oral lesions. Although his medical history
includes hypertension, diabetes mellitus, and human immunodeficiency
virus infection (well controlled with antiretroviral treatments),
he has no risk factors for oral cancer, specifically no tobacco
use, or significant alcohol intake. Twelve years ago, he developed
a tongue lesion that demonstrated dysplasia. It was treated with
topical steroids and then both laser and surgical excision. The
lesion recurred 2 years later, and a biopsy specimen revealed superficially
invasive well-differentiated squamous cell carcinoma. He underwent
wide resection with all margins clear of carcinoma but with residual
dysplasia at the edges...."
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