Publications by authors named "A Zeitouni"

The incidence of head and neck cancer (HNC) is on the rise, making it a significant clinical challenge. Human papillomavirus (HPV)-related and HPV-negative HNC exhibit distinct etiopathogenesis and prognoses, requiring targeted approaches for effective management. Conventional tissue biopsies are essential for confirming the diagnosis and locating solid tumors.

View Article and Find Full Text PDF

Background: This pilot study aimed to provide supportive evidence for the feasibility of conducting a full-scale intervention trial with patients newly diagnosed with head and neck cancer (HNC). This included assessing the acceptability and potential usefulness of the PTSD Coach mobile app as an early self-management intervention that gives information about anxiety symptoms, offers self-assessment of symptoms with feedback, tools to self-manage anxiety, and connects to support.

Methods: A three-arm randomized controlled trial was conducted.

View Article and Find Full Text PDF
Article Synopsis
  • - The study examines the effectiveness of a treatment strategy combining neoadjuvant chemotherapy (NECTORS) followed by surgery in preventing distant metastasis (DM) in patients with HPV-related oropharyngeal cancer, compared to standard care with concurrent chemoradiation (CCRT).
  • - It includes 342 patients with advanced HPV-positive OPSCC, showing that NECTORS resulted in no cases of distant-only metastasis and fewer overall recurrences than CCRT.
  • - The analysis considers various factors like age, sex, and cancer stage to assess DM-free survival rates, highlighting the potential benefits of NECTORS in reducing treatment-related toxicity.
View Article and Find Full Text PDF

Importance: Although patients with head and neck cancer (HNC) have been shown to experience high distress, few longitudinal studies include a comprehensive evaluation of biopsychosocial factors affecting quality of life (QoL), including genetic risk for depression.

Objective: To identify factors at the time of cancer diagnosis associated with QoL scores at 3 months after treatment in patients newly diagnosed with a first occurrence of HNC.

Design, Setting, And Participants: This prospective longitudinal study of 1464 participants with a 3-month follow-up, including structured clinical interviews and self-administered measures was carried out at the Department of Otolaryngology Head and Neck Surgery at 2 tertiary care McGill University Affiliated Hospitals, McGill University Health Centre, and Jewish General Hospital.

View Article and Find Full Text PDF

Importance: Efforts are underway to deintensified treatment protocols for patients with human papillomavirus virus-associated oropharyngeal squamous cell carcinoma (HPV-OPSCC) to achieve similar excellent oncologic outcomes while reducing treatment-related adverse effects. Transoral robotic surgery (TORS) as primary treatment often requires adjuvant therapy due to the high incidence of nodal metastasis. Treatment with neoadjuvant chemotherapy followed by TORS and neck dissection (NECTORS), reserving radiation therapy for salvage, yields excellent oncologic outcomes.

View Article and Find Full Text PDF