The Head and Neck Team

Abstract

Tumor board is a conference held by the H&N team every Friday at 6:30AM which includes Otolaryngology, Radiology, Nuclear medicine, Pathology, and Dentistry. All teams are expected to be present, except certain teams involved in Friday AM didactics (Peds). Operating surgeons for a 7:15am case may leave early. If you are not going to be at Tumor board, have someone present your patient for you. The resident who sees a new cancer patient in clinic is responsible for creating a new tumor board document. The senior on the case in the OR is responsible for generating a new TB document for path review. Prior to tumor board, the presenting resident should: Review all data obtained on the case (path, radiology, consults, TNM staging, proposed treatment plan) Create a Tumor Board document (EPIC SmartText “OTO:Initial Tumor Board Notes” or “OTO: Follow-up Tumor Board Note”). Add the patient to the shared EPIC tumor board list. Enter under Patient Comments the staff, your name, and the data to be reviewed. The deadline for TB additions is Thursday by 10am, or for VA Wednesday by 5 pm. A sample presentation: CC, HPI: 54 year old smoker/drinker with tongue lesion for 2 months. Pertinent positives/negatives. Pertinent past hx should include cancer hx and medical hx that could affect tx. Directed PE: 4 cm deeply infiltrative lesion on lateral tongue FOM, no bone invasion, 3 cm node Level I, poor dentition. Remainder of exam unremarkable Assessment/Plan: Clinical stage III (T3N1M0) tongue cancer. Plan is combined surgery (resection, neck dissection; possible need for reconstruction) and radiation. Will need dental and radiation oncology consults. Fill in the final plan for all of your TB patients after conference is over