A retrospective study of treatment for curative synchronous double primary cancers of the head and neck and the esophagus

Supraclavicular Artery Flap for Oral Reconstruction Prior to Esophagectomy During the COVID-19 Pandemic: A Case Report

“…Wide tumor resection with free flap reconstruction for patients with both HNC and synchronous EC has presented a challenge in the postoperative period, as the patients' quality of life was impacted by an inability to swallow and speak (9,10). However, our case achieved both pathologically negative tumor margins, decannulation, and had a thoracosopic esophagectomy with gastric tube reconstruction performed during the COVID-19 pandemic.…”

“…Changes to surgical practices resulted from the relative benefits of utilizing fewer medical resources by using SAF of HNC reconstruction during the COVID-19 pandemic (7,8). However, to the best of our knowledge, guidelines have not incorporated SAF into treatment strategies for HNC with synchronous esophageal cancer (EC) before and during the pandemic (9,10). Herein, we report a patient with advanced HNC with synchronous EC who underwent SAIF to reconstruct a resected oral floor before esophagectomy during the ongoing pandemic.…”

Multidisciplinary tumor board for head and neck cancer from the perspective of medical oncologists—optimizing its effectiveness

“…The MTB, in which gastrointestinal oncologists participate, is ideal for discussing how to approach each cancer—simultaneously or sequentially. The treatment strategies include synchronous resection of both cancers, synchronous CRT for both cancers, staged resection and CRT ( 22 , 23 ), or induction chemotherapy for each cancer ( 24 ). These options were selected per case based on tumor staging, invasiveness, complications, curability, and QOL, such as swallowing function.…”