Cancer of the hypopharynx and cervical esophagus

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Abstract

Treatment of cancer of the hypopharynx and cervical esophagus has evolved to include radical surgical resection, microvascular reconstruction techniques, and postoperative radiation therapy. New knowledge about safe surgical margins and the paths of lymph node metastases has helped to clarify the required boundaries of the resection, and patients are recovering with better functional status. Despite these improvements, long-term survival rates for advanced-stage cancer remain grim. Adjuvant treatments are being developed that provide organ-sparing possibilities, and quality-of-life issues are becoming an integral part of treatment planning.

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