% are scc - minor sgt histologies (adeno, mucoepi, adenocystic) - melanoma - small cell carcinoma of the tonsil - nhl what are common presenting s+s sore throat dysphagia otalgia odynophagia hot potato voice (with base of tongue invasion hoarseness what is required for work up - h+p (nasopharyngoscopy) - panendoscopy with biopsy - labs: cbc, chem, bun, cr, lfts, hpv testing of primary (p16 in tumour) or nodal mets - mri +/- ct scan +/- pet - cxr or ct chest - panorex - preventative dental extractions - speech and swallow evaluation as indicated what is the risk of nodal spread by subsite boft: ~80% w ~30% in contralateral neck tonsil: 70% risk of nodal dz w 30% path + in cn0 soft palate: ~40% at diagnosis oropharyngeal wall:?? viagra samplescheap generic viagra General treatment recommendations by stage t1-2n0: definitive rt vs surgery with postop-rt as indicated stage iii-iv: concurrent chemort (w cisplatin) vs chemort (w cetux) vs altered fractionation rt alone vs surgery +/- (chemo)rt when is a total laryngectomy required at time of surgery -removal of more than 1/2 of tongue - elderly with poor pulmonary function to prevent aspiration indications for post op treatment rt: close margin, multiple ln+, pni, lvsi crt: extracapsular ln spread, +margin(s) what did rtog 90-03 investigate and it's results fu et al, 2000: investigated altered fractionation rt alone - 70/2(standard) vs 81. buy cheap generic viagra uk 6/1. viagra generic canada 2 bid (accelerated hyperfractionation) vs 67. buy cheap generic viagra uk 2/1. viagra without prescription 6 bid (split course) vs 72/1. viagra 100mg price uk 8 daily but last 12 = 1. viagra online without prescription 5gy bid treatment (concomittent boost) concomittent boost and hyperfractionation where best with: 2 yr lrc (54%), dfs (39%), os (53%) what was the march meta-analysis bourhis et al - 2006: 15 phase iii trials on altered fractionation 3. order viagra online 4% 5 yr os benefit for altered fractionation over conventional most benefit with hyperfractionation what was the mach-nc meta-analysis pignon et al - 2009: 93 phase iii trials 4. generic viagra in us 5% os benefit at 5 yrs when chemo added to rt concurrent over induction gave 6. order generic viagra uk 5% os benefit no difference in mono vs poly chemotherapy but platinum based best no benefit observed if over 71 yo what did rtog 95-01 examine and its results postop rt vs. buy cheap generic viagra uk do i need a prescription for viagra in australia Καλωσορίσατε στις ιστοσελίδες μου!
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Αποσπάσματα από την παρουσίαση των βιβλίων της Μαρίας στο χώρο Σύνη, στη Παλαγία, στα βόρεια της Αλεξανδρούπολης, στις 24 Μαρτίου, 2013.
Some excerpts from Maria’s books’ presentation at Syni’s Exhibition space in Palagia, a suburb of Alexandroupolis, on March 24th, 2013.
Λογοτεχνική βραδιά με τηΜαρία ΤολούδηΚυριακή, 24 Μαρτίου 2013