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Pathological aspects of the assessment of head and neck cancers: United Kingdom National Multidisciplinary Guidelines

  • T R Helliwell (a1) and T E Giles (a2)
Abstract
Abstract

This is the official guideline endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK. It introduces the current best practice in histopathology and cytopathology as it pertains to head and neck and thyroid cancers.

Recommendations

• Accurate diagnosis of the type of malignancy is a key component of effective management. (R)

• Surgeons and oncologists should understand the scope and limitations of cellular pathology in order to inform multidisciplinary discussions. (R)

• A clinically suspected diagnosis of malignancy should be confirmed by biopsy or cytology before operation. (R)

• Cytopathological diagnoses should be discussed with surgeons and radiologists to maximise the information gained from each modality of investigation. (R)

• Pathological investigations are the basis for accurate cancer staging and stratification of clinical outcomes. (R)

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Address for correspondence: Timothy R. Helliwell, Department of Cellular Pathology, Liverpool Clinical Laboratories, University of Liverpool, Liverpool, UK E-mail: trh@liverpool.ac.uk
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5 RY Osamura , JL. Hunt Current practices in performing frozen sections for thyroid and parathyroid pathology. Virchows Archiv 2008;453:433–40

8 IJ Den Toom , DA Heuveling , GB Flach , S van Weert , KH Karagozoglu , A van Schie Sentinel node biopsy for early-stage oral cavity cancer: the VU University Medical Center experience. Head Neck 2015;37:573–8

10 JL Hunt , L Barnes , JS Lewis Jr, ME Mahfouz , PJ Slootweg , LD Thompson Molecular diagnostic alterations in squamous cell carcinoma of the head and neck and potential diagnostic applications. Eur Arch Otorhinolaryngol 2014;271:211–23

12 H Mehanna , V Paleri , A Robson , R Wight , T. Helliwell Consensus statement by otorhinolaryngologists and pathologists on the diagnosis and management of laryngeal dysplasia. Clin Otolaryngol 2010;35:170–6

13 N Gale , R Blagus , SK El-Mofty , T Helliwell , ML Prasad , A Sandison Evaluation of a new grading system for laryngeal squamous intraepithelial lesions – a proposed unified classification. Histopathology 2014;65:456–64

14 PA Smith , TE. Giles Fine needle aspiration cytology of head and neck diseases: advantages and limitations. Diag Histopathol 2010;16:287–94

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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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