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<p>The presence of synchronous primary tumors in head and neck cancers poses complex challenges for clinical management, requiring careful decision-making by surgical teams. Research suggests that such tumors occur in 1.3–5.8% of head and neck cancer patients [1]. Studies also indicate that head and neck squamous cell carcinoma (SCC) carries a 9.1% risk of developing a second primary tumor, with 50% affecting the head and neck region and 34% involving the lungs [2]. This report describes a 60-year-old man with concurrent right maxillary sinonasal SCC and left mastoid SCC, addressing the complexities of managing dual pathologies and devising a treatment plan for distant synchronous head and neck SCC.</p>

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Challenges in Managing Synchronous Head and Neck Tumors with Varying Operability: A Case Report

  • 期刊论文

  • 发表日期：

    2026年4月24日

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  • Josiah Williams,
  • Ahmad Hafizuddin,
  • Kelvinder Singh

摘要

The presence of synchronous primary tumors in head and neck cancers poses complex challenges for clinical management, requiring careful decision-making by surgical teams. Research suggests that such tumors occur in 1.3–5.8% of head and neck cancer patients [1]. Studies also indicate that head and neck squamous cell carcinoma (SCC) carries a 9.1% risk of developing a second primary tumor, with 50% affecting the head and neck region and 34% involving the lungs [2]. This report describes a 60-year-old man with concurrent right maxillary sinonasal SCC and left mastoid SCC, addressing the complexities of managing dual pathologies and devising a treatment plan for distant synchronous head and neck SCC.