Cancer, COVID-19 and the precautionary principle: prioritizing treatment during a global pandemic. Risk factors for Head and Neck cancer Age Tobacco and alcohol p53 mutation HPV. Available at: https://www.nccn.org/covid-19/ (26th August 2020, date last accessed). ESMO … Cancer, COVID-19 and the precautionary principle: prioritizing treatment during a global pandemic. Although the 19% improvement in overall survival among patients treated with … ESMO management and treatment adapted recommendations in the COVID-19 era: Head and Neck Cancers, ESMO Facebook Roundtable: COVID-19 Vaccines and Cancer Care - The known, the unknown and the unknowable, ESMO Facebook Roundtable: COVID-19 vs Cancer - Reorganising cancer care after the first wave, ESMO Facebook Roundtable: COVID-19 vs Cancer - The future of cancer research, ESMO Facebook Roundtable: COVID-19 vs Cancer - Weighing up risks over time, Cancer Patient Management During the COVID-19 Pandemic, COVID-19 and cancer care in the ESMO journals, From ESMO Vision 2020 to ESMO Vision 2025, Adolescents and Young Adults Working Group, ESMO SIOG Cancer in the Elderly Working Group, Examination & Accreditation Working Group, Translational Research and Precision Medicine Working Group, Magnitude of Clinical Benefit Scale Working Group, Press and Media Affairs Committee and Social Media Working Group. These guidelines on Squamous cell carcinoma of the head and neck and Nasopharyngeal cancer include information on: incidence, diagnosis, staging and risk assessment, treatment, response evaluation and follow-up. National Comprehensive Cancer Network. Xevinapant in combination with standard cisplatin-based chemoradiation therapy (CRT) reduces the risk of death in high-risk patients with locally advanced head and neck … All funding for this site is provided directly by ESMO. Head and neck cancer updates presented at ESMO 2020. bleeding, see also under “Priorities for symptomatic recurrent/metastatic patients), Adjuvant radiotherapy for minor risk factors, Multidisciplinary team meetings -physically or virtually- should remain the place where clinical choices about curative treatments are defined, Curative intended radiotherapy should not be postponed for an interval longer than 4-6 weeks, Do not necessarily change fractionation unless radiation-therapy resources are limited, Consider implementing moderately hypofractionated regimens, only in case of extreme shortness of resources (fractions of 2.2-3 Gy), Concurrent chemoradiotherapy should be preferred to induction chemotherapy followed by (chemo)radiotherapy for organ preservation, to limit overall treatment time and chemotherapy-related immunosuppression, High-dose three-weekly cisplatin should be preferred to low-dose weekly cisplatin to reduce medical visits, Consider omitting concomitant chemotherapy only in case of extreme shortness of resources, If the patient tested positive for COVID-19 before treatment, postpone radiotherapy initiation until test becomes negative, Keep continuity in radiotherapy in case of COVID-19 positivity with mild/no symptoms; continue  radiotherapy if at least 2 weeks of treatment have been performed, provided it is clinically practicable, Interrupt treatment in case of severe symptoms. 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Primary brain tumours in the COVID-19 era, Gastrointestinal cancers: Hepatocellular carcinoma (HCC) in the COVID-19 era, Genitourinary cancers: Urothelial cancer of the bladder in the COVID-19 era, Genitourinary cancers: Renal cell cancer in the COVID-19 era, Genitourinary cancers: Prostate cancer in the COVID-19 era, Gynaecological malignancies: Cervical cancer in the COVID-19 era, Gynaecological malignancies: Endometrial cancer in the COVID-19 era, Haematological malignancies: DLBCL, MCL and Aggressive T-cell lymphoma in the second phase of the COVID-19 pandemic (ESMO-EHA), Haematological malignancies: Hodgkin lymphoma in the second phase of the COVID-19 pandemic (ESMO-EHA), Haematological malignancies: Indolent B-NHL in the second phase of the COVID-19 pandemic (ESMO-EHA), Haematological malignancies: Multiple myeloma in the COVID-19 era, Head and neck cancers in the COVID-19 era, COVID-19 adapted recommendations Slide Sets, ESMO-ESO Courses on Medical Oncology for Medical Students, SARS-CoV-2 Vaccination: Special Considerations in Patients with Cancer, ESMO Guidelines: Real World Cases - Live Webinars. National Comprehensive Cancer Network. Sacha Rothschild. IARC World Cancer Report Updates Learning Platform and Webinars, ESMO Public Policy Track and Special Sessions, ESMO Scale for Clinical Actionability of molecular Targets (ESCAT), Recognition and Status of Medical Oncology, Status of Medical Oncology in Developing Countries, Shortages of Inexpensive, Essential Cancer Medicines, Accessibility and Availability of Medicines, CAREFOR, The Clinical Academic Cancer Research Forum, World Health Organization / United Nations, ESMO responses to European Union and Global Public Consultations, ESMO Gynaecological Cancers Virtual Congress 2021, Molecular Analysis for Precision Oncology Congress 2021, European Lung Cancer Virtual Congress 2021, ESMO Immuno-Oncology Virtual Congress 2020, https://www.who.int/publications-detail/covid-19-operational-guidance-for-maintaining-essential-health-services-during-an-outbreak, https://www.nccn.org/professionals/physician_gls/pdf/head-and-neck.pdf, Gastrointestinal cancers: Colorectal cancer (CRC) in the COVID-19 era, Gastrointestinal cancers: Gastro-oesophageal tumours in the COVID-19 era, Gastrointestinal cancers: Pancreatic cancer in the COVID-19 era, Gynaecological malignancies: Epithelial ovarian cancer in the COVID-19 era, Patients experiencing acute toxicities during curative treatment with radiation/systemic therapies, Post-operative patients with complications, Head and neck cancer survivors experiencing signs/symptoms of recurrence, Head and neck cancer survivors experiencing late toxicities, Post-operative or post-(chemo)radiotherapy patients with no complications, Psychological support visits (convert to telemedicine), Patients in early follow-up (first 2 years) after curative treatment, Patients in late follow-up (after 2 years) with neither signs/symptoms of recurrence nor toxicities: refer to telemedicine and postpone imaging, Visits between two treatments for patients on systemic palliative treatment: refer to telemedicine, Prior to any in-person visit, patients should be screened for symptoms of COVID-19 by maximising telemedicine triage and establishing screening at intake by using checklists and monitoring tools, Telemedicine may play a role in primary assessment of signs and symptoms, reassuring anxious subjects, while prompting an urgent in-person visit in case of doubts (new lump in the neck, dysphagia, dyspnoea, minor bleeding…), However, clinical examination of the head and neck via telemedicine for oncological reasons should be avoided except for a general inspection of the neck, face and anterior oral cavity (also in such circumstances, however, it should be noted that palpation and close inspection are the main resources for clinical judgement, especially in already treated patients), Larynx – Hypopharynx: cT3-cT4, every cTN+, rT3-rT4, every rTN+, every patient with instable airway (dyspnoea or pending dyspnoea, dysphagia, painful swallowing, risk of bleeding…), Oral cavity – Oropharynx: cT2-cT4, every cTN+, every patient with instable airway (dyspnoea or pending dyspnoea, dysphagia, painful swallowing, risk of bleeding…), pathological fracture of the mandible, trismus, Paranasal sinuses: cT2-cT4, every cTN+, every patient with diplopia, facial deformity, skin ulceration, frequent and massive oral and/or nose bleeding, Thyroid: cT4, every cT with bulky N+, aggressive histotypes (medullary, tall cell, undifferentiated…), Salivary glands: cT3-cT4, every cTN+, aggressive histotypes (salivary duct, adenoid cystic, high grade mucoepidermoid…), Skin of face and neck: squamous cell carcinomas cT3-cT4 and every cTN+, Every G2-G3 soft tissues or bone sarcomas, Thyroid: cT2-cT3, non-bulky and non-critical N+, Skin of face and neck: squamous cell carcinoma cT1-cT2, large basal cell carcinomas, Skin of face and neck: small basal cell carcinomas, Multidisciplinary team meetings -physically or virtually- should remain the place where clinical choices about curative treatments are mainly defined, High-medium priority patients should not be delayed more than 2 months, Definitive (chemo)radiotherapy for oropharyngeal carcinoma regardless of HPV status and for advanced hypopharyngeal or laryngeal carcinoma, Continuation of treatment in the context of a clinical trial, provided patient benefits outweigh risks, with possible adaptation of procedures without affecting patient safety and study conduct, Postoperative (chemo)radiotherapy for non-in-sano resection/positive margins or extracapsular spread of squamous cell carcinomas, sarcomas, or salivary gland tumours of aggressive histology, Definitive radiotherapy of early glottic cancer (cT1-cT2 N0), Symptomatic palliative treatment (e.g. IARC World Cancer Report Updates Learning Platform and Webinars, ESMO Public Policy Track and Special Sessions, ESMO Scale for Clinical Actionability of molecular Targets (ESCAT), Recognition and Status of Medical Oncology, Status of Medical Oncology in Developing Countries, Shortages of Inexpensive, Essential Cancer Medicines, Accessibility and Availability of Medicines, CAREFOR, The Clinical Academic Cancer Research Forum, World Health Organization / United Nations, ESMO responses to European Union and Global Public Consultations, ESMO Gynaecological Cancers Virtual Congress 2021, Molecular Analysis for Precision Oncology Congress 2021, European Lung Cancer Virtual Congress 2021, ESMO Immuno-Oncology Virtual Congress 2020. ESMO Call to Action on COVID-19 Vaccinations and Patients with Cancer: Vaccinate. Necessary cookies enable core functionality. New therapeutic strategies for the treatment of nasopharyngeal cancer and squamous cell carcinoma of the head and neck, malignancies associated with poor survival outcomes, were presented at the first European Society for Medical Oncology (ESMO) Asia Congress, held in Singapore in December 2015. Receive information and updates on ESMO’s scientific and educational resources, events, members activities. ESMO Call to Action on COVID-19 Vaccinations and Patients with Cancer: Vaccinate. PracticeUpdate: How was this trial designed? Virtual. Supportive care during radiotherapy with/without systemic therapy: Consider replacing weekly on-site patient reviews with video- or telephone-consultations, Early initiation of systemic therapy in patients with fast disease pace, high tumour burden and/or symptomatic, Initiation of systemic therapy in patients with less aggressive disease features, Monotherapy (e.g. JAVELIN HEAD AND NECK 100 results at ESMO 2020. This site uses cookies. To sign up for ESMO newsletters, create a myESMO account here and select the newsletters you’d like to receive. Dr. phil. In this presentation, Angela Fischer Maranta, KSGR, Chur covers the most important findings from the ESMO virtual meeting 2020 for the topic Head and Neck. ESMO 2018: Immunotherapy improves survival in metastatic or recurrent head and neck cancer 22 Oct 2018 Immunotherapy with pembrolizumab improves survival in patients with head and neck cancer that has recurred or metastasised, according to late-breaking results from the KEYNOTE-048 study reported at the ESMO 2018 Congress in Munich.
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