1. TUMOR BOARD DISCUSSION
21.02.2014

2. Mrs. Panchavarnam
55/F
CA TONGUE – LAT.
1/3 rd
STAGE- cT3NOMO
HPE—Well diff. sq.
cell carcinoma

9. LOCALLY ADVANCED CA TONGUE
TREATMENT OF CHOICE
1. SURGERY→RT
2. RT→ SURGERY
3. CONCURRENT CHEMORT
4. NEO ADJUVANT CHEMO→CHEMORT

10. LOCALLY ADVANCED CA TONGUE
SIGNS OF INOPERABILITY
1. POST 1/3 TONGUE INVOLMENT
2. MANDIBLE INVOLMENT
3. COSMETIC/ FUNCTIONAL
4. ALL THE ABOVE

11. LOCALLY ADVANCED CA TONGUE
SURGERY
1. TRANSORAL
2. MANDIBULOTOMY

12. LOCALLY ADVANCED CA TONGUE
MANAGEMENT OF NECK
1. FOLLOW UP
2. RT
3. RADICAL NECK DISSECTION

13. LOCALLY ADVANCED CA TONGUE
NECK DISSECTION
1. RADICAL NECK DISSECTION
2. SELECTIVE NECK DISSECTION
3. SUPER SELECTIVE NECK
DISSECTION

14. LOCALLY ADVANCED CA TONGUE
RT
1. CONVENTIONAL RT
2. HYPERFRACTIONATED RT
3. ACCLERATED RT

15. LOCALLY ADVANCED CA TONGUE
RT TECHNIQUE
1. CONVENTIONAL
2. IMRT
3. PROTON THERAPY

16. LOCALLY ADVANCED CA TONGUE
CHEMO
1. PLATINUM BASED DOUBLETS
2. TPF
3. TPF⁺TARGETED AGENTS

17. LOCALLY ADVANCED CA TONGUE
EGFR DETECTION
1. IHC
2. OVER EXPRESSION
3. MUTATIONS
4. K RAS MUTATIONS

18. LOCALLY ADVANCED CA TONGUE
TARGETED AGENTS
1. CETUXIMAB
2. LAPATINIB
3. PANITUMUMAB
4. NIMOTUZUMAB
5. BEVACIZUMAB
6. EROLITINIB
7. GEFTINIB

19. LOCALLY ADVANCED CA TONGUE
HPV DETECTION
1. YES
2. NO
3. MAY BE