ABSTRACT
This chapter focuses on the epidemiology of childhood cancers of the head and neck region and the general principles of assessing and managing malignancy in children. It discusses the more common histological types individually. Flexible nasendoscopy is possible in many children. Imaging with the help of a paediatric radiologist can often obviate the need for biopsy. However, full assessment of a mass may require examination under anaesthetic with biopsy. The chapter addresses the long-term sequelae of treatment in survivors, palliative care and future developments. The aim of cancer treatment in children is to maximize the chance of long-term survival and at the same time minimize the side effects, particularly in the longer term. An important issue for survivors of childhood cancer is the impact of the disease and its treatment on reproduction and the implications for the health of any offspring.
